侧颈清扫术在N(0)颈部的喉癌和下咽癌中的作用
Role of lateral neck dissection in cancers of the larynx and hypopharynx with N(o) neck.
作者信息
Gupta S, Bahadur S, Mathur M, Thakar A
机构信息
Dept of ENT & Head & Neck Surgery, AIIMS, 110029 New Delhi.
出版信息
Indian J Otolaryngol Head Neck Surg. 2000 Jul;52(3):253-6. doi: 10.1007/BF03006194.
Radical neck dissection is a standard procedure carried out for the teatment of palpable nodes in the neck but if carried out electively in cases where there are no palpable nodes in the neck it is considered to be an overtreatment with its associated morbity. Lateral neck dissection was carried out on twenty patients who had T31 T4 lesion of the larynx and hypophar-vnx with NO neck. The dissection entails removal of Level II. III and IV nodes. Occult metastasis 80% and 85% respectively. The mean follow up was 13 monts. It appears from our study that elective lateral neck dissection is a promising and safe procedure and may be useful as an important prognostic tool in sampling the lymph nodes and predicting recurrences in the neck.
根治性颈清扫术是治疗颈部可触及淋巴结的标准手术，但如果在颈部无可触及淋巴结的情况下选择性地进行该手术，则被认为是过度治疗，且伴有相关的发病率。对20例喉和下咽T3、T4期且无颈部淋巴结转移的患者进行了侧颈清扫术。该清扫术需要切除Ⅱ、Ⅲ和Ⅳ区淋巴结。隐匿性转移率分别为80%和85%。平均随访时间为13个月。我们的研究表明，选择性侧颈清扫术是一种有前景且安全的手术，在对淋巴结进行采样和预测颈部复发方面，可能作为一种重要的预后工具发挥作用。
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