论文部分内容阅读
对喉癌是否应行选择性颈廓清术,至今各家仍有争论。Lee 等认为如果患者有15～20％或更多的潜伏性颈淋巴结转移,应施行选择性颈廓清术,相反,对潜伏性颈淋巴结转移在10％以下者,则手术的意义甚微,因其本身仍有1～3％的死亡率。我们认为,应根据患者不同情况而定。我们对34例不同类型和分期的喉癌,分三组做了不同的处理。根据其远期疗效,对选择性颈廓清的适应症,略加讨论。
Whether laryngeal cancer should be treated with selective neck dissection has still been debated. Lee et al believe that if the patient has 15 to 20% or more of latent cervical lymph node metastasis, selective neck dissection should be performed. On the contrary, if the latent cervical lymph node metastasis is below 10%, the significance of surgery is minimal. It still has 1 to 3% mortality. We believe that it should be based on different circumstances of the patient. We treated 34 different types and staging of laryngeal cancer in three different groups. Based on its long-term efficacy, the indications for selective neck dissection were discussed briefly.