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本文报道我科改进功能性颈淋巴清扫术107例，其中10例为双侧同期手术，获得满意效果．术式改进方法为将斜方肌上部前缘垂直切口设计呈“双曲”形，使术后伤口疤痕由直线收缩改为曲线收缩，进一步改善了颈部的外形及功能，术中采用胸锁乳突肌游离法，隧道式颈大块切除，保存了该肌的完整性，避免了术后肌肉僵硬萎缩；本组病例中89例保留了耳大神经，免除了患者耳廓及周围皮肤终生麻木的痛苦，并提出在实施功能性颈淋巴清扫术时应增加“4保留”原则，使这一术式更趋完善，以达到临床最佳效果．
This article reported that our department improved functional neck dissection in 107 cases, of which 10 cases for the same period of bilateral surgery, with satisfactory results. The improved method is to design the vertical incision of the upper edge of the trapezius muscle as a “hyperbolic” shape, so that the postoperative wound scar changes from a straight line to a curved one, further improving the shape and function of the neck. The chest lock is used in the operation. The mastoid muscle free method and tunnel neck mass removal preserved the integrity of the muscle and avoided muscle stiffness and atrophy. 89 cases of auricular nerve were preserved in this group of patients and the patient’s auricle and surrounding skin were eliminated. The numbness of pain, and proposed that in the implementation of functional neck dissection should increase the “4 retention” principle, making this surgery more perfect, in order to achieve the best clinical results.