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目的：探讨分区性（局限性）颈清扫术治疗声门上型喉癌的作用。方法：根据喉的淋巴引流解剖特点，设计了上颈淋巴结清扫术（颈内静脉上组）。对1976～1990年入院治疗的168例声门上型喉癌患者（其中N0149例，N119例）采用了此术处理颈部。结果：168例上颈淋巴结病理检查均无淋巴结转移。5年观察后有17例出现颈部转移，其颈部复发率与经典性全颈清扫术后相同。全组5年生存率为72．6％（122／168）。结论：对声门上型喉癌N0或部分N1患者以分区性颈清扫术如上颈清扫术作为治疗措施，创伤小，手术时间短，术后恢复快，肿瘤学治疗效果与经典性全颈清扫术相同。
Objective: To investigate the role of regional (localized) neck dissection in the treatment of supraglottic laryngeal cancer. METHODS: According to the anatomic characteristics of the lymphatic drainage of the larynx, an upper cervical lymph node dissection (upper cervical jugular vein) was designed. Among the 168 supraglottic laryngeal cancer patients (N0149 cases, N119 cases) admitted to hospital from 1976 to 1990, this procedure was used to treat the neck. RESULTS: No lymph node metastasis was found in 168 patients with pathological findings of upper cervical lymph nodes. After 5 years of observation, there were 17 cases of neck metastasis, and the recurrence rate of the neck was the same as that after classic neck dissection. The 5-year survival rate in the whole group was 72.6% (122/168). Conclusions: The use of neck dissection for supraglottic laryngeal cancer N0 or partial N1 patients with upper neck dissection as a treatment measure has the advantages of less trauma, shorter operation time, faster postoperative recovery, and oncological treatment effect compared with classical neck dissection. Same technique.