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1965～1986年,为1 081例连续的既往未接受过治疗的头颈部鳞癌病人施行了1 119次根治性颈廓清术。通过分析转移性颈淋巴结的分布情况来探讨上呼吸道鳞癌颈淋巴结的转移方式,为改良性颈廓清术提供理论基础。1 081例中,男性占71%,女性占29%,年龄12～95岁,中数59岁。原发肿瘤的部位如下:位于口腔者501例,口咽207例,喉咽126例,喉247例。343例临床N_0的病人接受了选择性根治性颈廓清术。其中33%(113/343)经组织学证实颈部有微转移(micrometastasis);776例N+的病人接受了治疗性根治性颈廓清术,其
From 1965 to 1986, 1 119 consecutive patients who had not previously received treatment for head and neck squamous cell carcinoma underwent 1119 radical neck dissections. By analyzing the distribution of metastatic cervical lymph nodes to explore the metastasis of cervical lymph nodes in squamous cell carcinoma of the upper respiratory tract, this will provide a theoretical basis for improved cervical dissection. Of the 1 081 cases, 71% were men, 29% were women, 12 to 95 years old, and 59 years old. The location of the primary tumor was as follows: 501 cases were located in the mouth, 207 cases were oropharynx, 126 cases were in the throat, and 247 cases were in the throat. 343 patients with clinical N_0 received selective radical neck dissection. Of these, 33% (113/343) had histologically confirmed micrometastasis on the neck; 776 N+ patients underwent therapeutic radical neck dissection.