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头颈部癌肿发生淋巴结转移时,症状常较隐匿,如能改进检查方法,尽早明确诊断,则能使病人得到及时治疗。以往多依靠临床检查,近10年来,则常用CT检查头颈部癌肿原发灶及转移性淋巴结的病变范围。作者对86年1月至88年6月间因头颈部癌肿而行颈淋巴廓清术的63侧淋巴结的组织病理学、临床检查及CT扫描结果进行分析,结果:①临床检查,63侧施行颈淋巴廓清术中,术前扪及淋巴结肿大者31侧,未扪及淋巴结者32侧,63侧中58侧与组织病理学检验结果一致,1侧假阳性,4侧假阴性,故临床检查诊断颈淋巴结转移的准确率为92%;②CT扫描,32侧颈部显示淋巴结肿大,31侧则未见明显病变,63侧中与组织病
Head and neck cancer occurs when lymph node metastasis, the symptoms are often hidden, such as improving the examination methods, as soon as possible to confirm the diagnosis, the patient can get timely treatment. In the past rely on clinical examination, the past 10 years, then commonly used CT examination of head and neck cancer and primary lesions and metastatic lymph node lesions. The author analyzed the histopathology, clinical examination and CT scan results of 63 lymph nodes with cervical lymph node dissection due to head and neck cancer from January86 to June8888. Results: ①The clinical examination, 63 sides The implementation of cervical lymphadenectomy, preoperative palpable lymph nodes enlargement 31 side, not palpable lymph nodes in 32 sides, 63 sides in 58 side consistent with the histopathological test results, 1 side false positive, 4 side false negative, so The accuracy of clinical diagnosis of cervical lymph node metastasis was 92%; ② CT scan, 32 sides of the neck showed swollen lymph nodes, no significant lesions on the 31 side, 63 side and tissue disease