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目的：探讨颈廓清手术的方法以提高治疗效果。方法：于65例头颈肿瘤患者行颈廓清术时，对切口、探查入路及手术操作作了部分改进。结果：65例颈廓清术时间平均为110min，术中出血量平均为120ml，手术并发症发生率降至1．54％，术后2年生存率为86．2％（56／65），3年生存率81．6％（31／38）。结论：改进后的颈廓清术，手术时间缩短，术中出血减少，并发症少，近期疗效有所提高。
Objective: To explore the method of neck dissection to improve the therapeutic effect. Methods: In 65 cases of head and neck cancer patients undergoing neck dissection, the incision, exploration approach and surgical operations were partially improved. RESULTS: The average duration of cervical dissection was 110 min in 65 patients. The average intraoperative blood loss was 120 ml. The incidence of surgical complications was reduced to 1.54%. The postoperative 2-year survival rate was 86.2% (56/65). 3 The annual survival rate is 81.6% (31/38). Conclusion: The improved neck dissection results in shorter operation time, less intraoperative bleeding, fewer complications, and improved short-term results.