Guo Chuan-Bin, Zhang Ye, He Dong-Mei, Zhang Lei, Yu Guang-Yan, Mao Chi
Department of Maxillofacial Surgery, Peking University School of Stomatology, Beijing 100081, China.
Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2005 Feb;40(2):87-90.
The value of supraomohyoid neck dissection used in treating oral squamous cell carcinoma was discussed.
Twenty-seven cN0 patients with oral squamous cell carcinoma were entered into the study. Supraomohyoid neck dissection was performed to remove the lymphatic tissue of level I, II, and III. The operation duration and shoulder function were recorded.
The average operation duration was (1.6 +/- 0.2) h. Nineteen percent (5/27) of the cN0 neck were proved positive pathologically which included two cases in level I and four in level II (one case had both level I and II metastases). Shoulder function recovered in three months after operation. All patients were followed up from two years to four years and none of them had local or neck recurrence.
Supraomohyoid neck dissection is a right choice for cN0 patients with oral squamous cell carcinoma with its advantages in both curing neck lymphatic metastases and preserving neck and shoulder contours and functions.
探讨肩胛舌骨肌上颈清扫术在治疗口腔鳞状细胞癌中的价值。
27例cN0期口腔鳞状细胞癌患者纳入本研究。行肩胛舌骨肌上颈清扫术，切除Ⅰ、Ⅱ、Ⅲ区淋巴组织。记录手术时间及肩部功能。
平均手术时间为（1.6±0.2）小时。19%（5/27）的cN0颈部病理检查证实为阳性，其中Ⅰ区2例，Ⅱ区4例（1例Ⅰ区和Ⅱ区均有转移）。术后3个月肩部功能恢复。所有患者随访2至4年，均无局部或颈部复发。
肩胛舌骨肌上颈清扫术是cN0期口腔鳞状细胞癌患者的正确选择，其在根治颈部淋巴结转移及保留颈部和肩部外形与功能方面均具有优势。
