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目的探讨头颈部鳞状细胞癌患者实施颈分区性清扫术治疗的远期疗效。方法 109例头颈部鳞状细胞癌患者,按照所接受的治疗方式不同分为观察组(65例)与对照组(44例),观察组患者实施根治性手术切除+颈分区性清扫术,对照组仅行放化疗或原发灶切除+放化疗,对比两组患者的远期疗效。结果观察组患者的2年生存率、2年死亡率与2年复发率均优于对照组,差异具有统计学意义(P<0.05)。观察组患者的不良反应发生率低于对照组,差异有统计学意义(P<0.05)。结论头颈部鳞状细胞癌患者实施颈分区性清扫术治疗的远期疗效较佳,可降低患者的复发率与死亡率。
Objective To investigate the long-term effect of neck dissection in patients with squamous cell carcinoma of the head and neck. Methods A total of 109 patients with squamous cell carcinoma of the head and neck were divided into observation group (65 cases) and control group (44 cases) according to the different treatment methods. The patients in observation group were treated by radical surgical resection and neck dissection, The control group only chemotherapy or primary tumor resection + radiotherapy and chemotherapy, compared the long-term efficacy of the two groups of patients. Results The 2-year survival rate, 2-year mortality rate and 2-year recurrence rate in the observation group were better than those in the control group, with statistical significance (P <0.05). The incidence of adverse reactions in observation group was lower than that in control group, the difference was statistically significant (P <0.05). Conclusion The long-term curative effect of neck dissection in patients with head and neck squamous cell carcinoma is better, which can reduce the recurrence rate and mortality of patients.