[选择性颈部清扫术在声门上型癌手术治疗中的作用]

[The role of elective neck dissection in the surgical treatment of supraglottic carcinoma].

作者信息

Zhao S W

机构信息

First Affiliated Hospital of China Medical University, Shenyang.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(4):216-8, 252.

PMID:8167040

Abstract

The survival rates of 622 operative cases with supraglottic carcinoma from October, 1977 to October, 1990 treated in The First Hospital of CMU were compared. The 3.5 and 10 year survival rates were 79.48%, 72.53% and 65.22% respectively. With regard to different surgical procedures, the 3.5 and 10 year-survival rates of END was 94.54%, 91.29% and 86.60% respectively; those of CND were 55.79%, 42.39% and 31.17%; and of NND, 79.15%, 74.53% and 68.56%. There were significant differences between either two groups. The authors suggest that elective neck dissection has an important role in surgical treatment of patients with supraglottic carcinoma.

摘要

对1977年10月至1990年10月在中国医科大学附属第一医院接受手术治疗的622例声门上型癌患者的生存率进行了比较。3年、5年和10年生存率分别为79.48%、72.53%和65.22%。就不同手术方式而言，根治性颈清扫术（END）的3年、5年和10年生存率分别为94.54%、91.29%和86.60%；改良根治性颈清扫术（CND）的分别为55.79%、42.39%和31.17%；非根治性颈清扫术（NND）的分别为79.15%、74.53%和68.56%。两组之间均存在显著差异。作者认为，选择性颈清扫术在声门上型癌患者的手术治疗中具有重要作用。