论文部分内容阅读
对声门上型喉癌颈部无肿大转移淋巴结患者，进行回顾性分析，探讨适宜的处理方案。我院自1976年至1990年共外科治疗162例T1~4N0患者。原发处进行各类手术治疗，颈部做上颈淋巴结切除术。有13例冰冻病理检查阳性，即做颈清扫术。149例病理阴性者观察随诊5年。颈部复发或转移者15例，颈部失败率为10．1％。全组5年生存率：T1N0为92．8％，T2N0为86．5％，T3N0为69．7％，T4N0为54．4％。对N0患者，可以避免选择性颈清扫术，先做诊断性上颈淋巴结切除术，病理阳性者做须清扫术，病理明性者密切观察。
The patients with supraglottic cervical lymph nodes without metastasis were retrospectively analyzed to explore the appropriate treatment options. Our hospital from 1976 to 1990 total surgical treatment of 162 cases of T1 ~ 4N0 patients. The primary treatment for various types of surgery, neck cervical lymphadenectomy. There are 13 cases of frozen pathological examination positive, that is done neck dissection. 149 cases of negative pathology were followed up for 5 years. Neck recurrence or metastasis in 15 cases, the failure rate of the neck was 10.1%. The 5-year overall survival was 92.8% for T1N0, 86.5% for T2N0, 69.7% for T3N0 and 54.4% for T4N0. For patients with N0, selective neck dissection can be avoided, first diagnosis of upper cervical lymph node dissection, positive pathology to be cleaned, close observation of pathological manifest.