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早期舌癌患者是否行选择性颈清还存在争议,该文旨在研究颈部处理对此类患者的作用。对380例cT1-2N0的舌癌患者进行回顾性研究,324例接受选择性颈清,其中287例行SOND,37例行MRND,56例观察。统计患者总生存率(OS)及颈部病灶控制率(NCR)。结果:颈淋巴清扫术组肿瘤的隐匿性转移率为T1组5.2%,T2组14.6%。差别显著(P= 0.005)。颈淋巴清扫组5年OS和NCR高于观察组。接受MRND组,其5年NCR高于SOND组,但无显著性差异。多因素分析显示,选择性颈淋巴清扫和肿
It remains controversial whether early stage cervical cancer patients undergo selective neck dissection, and this article aims to study the effects of neck treatment on these patients. A retrospective study of 380 patients with tongue cancer of cT1-2N0, 324 patients with selective neck dissection, including 287 cases of SOND, 37 cases of MRND, 56 cases were observed. The overall survival rate (OS) and neck lesion control rate (NCR) were calculated. Results: The occult metastasis rate of tumor in neck dissection group was 5.2% in T1 group and 14.6% in T2 group. The difference was significant (P = 0.005). The 5-year OS and NCR in the neck dissection group were higher than those in the observation group. In the MRND group, the 5-year NCR was higher than that in the SOND group, but there was no significant difference. Multivariate analysis showed that selective cervical lymph node dissection and swelling