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本文报告喉癌颈廓清术31例,其中FND26例,RND5例。5年生存率323%(10/31)。未见严重手术并发症。并就有关问题进行讨论。作者认为,CN0者,若为有高危转移的声门上癌或T3、4的声门癌,无论其PN是否为阳性,应行ND。对CN1,2者,亦应行ND。对CN3者,应慎重考虑。酌情选用FND或RND。应重点廓清颈前三角区及胸乳突肌区。双侧ND者应至少保留一侧颈内静脉
This article reports 31 cases of laryngeal neck dissection, including 26 cases of FND and 5 cases of RND. The 5-year survival rate was 32. 3% (10/31). No serious surgical complications. And discuss related issues. The authors believe that CN0 patients should be treated with ND if they have high-risk metastatic glottic cancer or T3, 4 glottic cancer, regardless of whether their PN is positive. For CN1,2, ND should also be implemented. For CN3, careful consideration should be given. Use FND or RND as appropriate. Should focus on clearing the anterior cervical triangle and sternocleidomastoid muscle area. Bilateral ND should retain at least one side of the internal jugular vein