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本文报告221例根治性全颈淋巴请扫术。原发部位以腮腺、舌、颊、牙龈等为主,其中鳞癌占68.77％;颈清标本阳性率为67.42(149/221);本组无手术死亡;术后并发症59例,以感染为主占74.57％。随访3、5年生存率分别为69.86％和56.46％,与作为对比研究的单纯局部切除的129例的50.38％和39.93％统计分析,生存率有显著差异(p<0.01)。作者认为,颈清扫是一种必须的治疗手段,其价值在于可明显提高头颈癌瘤患者的五年生存率,因此临床上应持积极态度。
This article reports 221 cases of radical neck dissection. The primary site was parotid gland, tongue, cheek and gum, among which squamous cell carcinoma accounted for 68.77%; the positive rate of cervical neoplasm specimen was 67.42 (149/221); there was no operative death in this group; postoperative complications occurred in 59 cases. The main accounted for 74.57%. The 3-year and 5-year survival rates of follow-up were 69.86% and 56.46%, respectively. Compared with 50.38% and 39.93% of the 129 patients who underwent simple local resection, the survival rate was significantly different (p<0.01). The author believes that neck dissection is a necessary treatment, its value is that it can significantly improve the five-year survival rate of head and neck cancer patients, so the clinical should take a positive attitude.