本文分析了自1960年1月至1977年12月61例同期及63例二期双颈清扫术的情况,80％病例在51—70岁,平均59.5岁。 在一期手术的61例中,10例保留了一侧或双侧颈内静脉和/或脊髓副神经。51例行双颈清扫术。按照原发肿瘤的大小和部位对有N_1、N_2和N_(30)的病人施行了一期手术,该组的淋巴结清除标本,双颈均阴性者6例(9.8％),一侧阳性7例(11％),48例 This article analyzed the situation from January 1960 to December 1977 in 61 cases and 63 cases of second-stage double neck dissection. Eighty percent of cases were between 51 and 70 years old, with an average of 59.5 years old. Of the 61 patients undergoing primary surgery, 10 retained one or both internal jugular veins and/or spinal accessory nerves. 51 routine double neck dissection. According to the size and location of the primary tumor, patients with N_1, N_2, and N_30 were subjected to a primary operation. The lymph node was removed in this group. There were 6 patients (9.8%) who were negative in both necks and 7 patients were positive in one side. (11%), 48 cases