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本文报告1952～1982年双侧颈淋巴结切除术55例。男36例,女19例;年龄10～69岁,平均48岁。其中头颈部鳞状细胞癌占41例,甲状腺癌8例,恶性黑色素瘤5例,其它1例。在55例中,双侧颈淋巴结同时进行切除术17例,不同时切除术38例。37例接受双侧颈静脉切除术,18例行一侧颈静脉切除术,辅以放射治疗16例,辅以化学治疗5例。病人均随访,最少5年,结果手术后30天的死亡率,同时进行和不同时进行双侧颈淋巴结切除术分别为11.8％(2/17)和2.6％(1/38),全组术后死亡率为5.4％(3/55)。手术后并发症:18例保留一侧颈静脉者,6例(33％)
This article reports 55 cases of bilateral cervical lymph node dissection from 1952 to 1982. 36 males and 19 females; aged 10 to 69 years old, an average of 48 years old. There were 41 cases of head and neck squamous cell carcinoma, 8 cases of thyroid cancer, 5 cases of malignant melanoma, and 1 case of other cases. In 55 cases, 17 cases underwent bilateral resection of bilateral cervical lymph nodes and 38 cases underwent simultaneous resection. Thirty-seven patients underwent bilateral jugular vein resection, 18 underwent one-sided jugular vein resection, supplemented with radiotherapy in 16 patients, and supplemented with chemotherapy in 5 patients. All patients were followed up for a minimum of 5 years. Results The 30-day mortality rate after surgery, simultaneous and simultaneous bilateral neck lymph node dissection was 11.8% (2/17) and 2.6% (1/38), respectively. The post-mortality rate was 5.4% (3/55). Postoperative complications: 18 cases with one side of jugular vein preserved, 6 cases (33%)