头颈肿瘤功能性颈淋巴结清扫术的适应证及临床根治效果

R739.65; 背景与目的:功能性颈淋巴结清扫术自1967年Bocca提出后,在头颈外科临床中已被推广应用,但对其临床应用适应证及其临床根治效果,国内外头颈外科专家持有不同观点.本研究旨在探索功能性颈淋巴结清扫术临床应用适应证和临床根治效果.方法:对152例次功能性颈淋巴结清扫术病例,利用手术标本病理检查及随诊资料进行分析讨论.结果:152例次功能性颈清扫术,舌鳞癌20例次,喉鳞癌23例次,甲状腺乳头状癌96例次,滤泡状腺癌9例次,髓样癌4例次;舌、喉鳞癌N0、N1、N2a病例术后5年复发率分别为12.5%、14.3%、40.0%和20%、16.7%、50.0%,甲状腺乳头状腺癌N1a、N1...

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Published in癌症 Vol. 21; no. 6; pp. 654 - 657
Main Authors 伍国号, 陈福进, 曾宗渊, 李浩, 宋明, 魏茂文, 许光普, 郭朱明, 张诠, 杨安奎, 陈文宽
Format Journal Article
LanguageChinese
Published 中山大学肿瘤防治中心头颈科,广东广州510060 2002
Subjects
头颈部肿瘤
淋巴结肿瘤/继发性
颈淋巴结根治性切除术
Online AccessGet full text
ISSN1000-467X
DOI10.3321/j.issn:1000-467X.2002.06.017

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Abstract R739.65; 背景与目的:功能性颈淋巴结清扫术自1967年Bocca提出后,在头颈外科临床中已被推广应用,但对其临床应用适应证及其临床根治效果,国内外头颈外科专家持有不同观点.本研究旨在探索功能性颈淋巴结清扫术临床应用适应证和临床根治效果.方法:对152例次功能性颈淋巴结清扫术病例,利用手术标本病理检查及随诊资料进行分析讨论.结果:152例次功能性颈清扫术,舌鳞癌20例次,喉鳞癌23例次,甲状腺乳头状癌96例次,滤泡状腺癌9例次,髓样癌4例次;舌、喉鳞癌N0、N1、N2a病例术后5年复发率分别为12.5%、14.3%、40.0%和20%、16.7%、50.0%,甲状腺乳头状腺癌N1a、N1b病例术后5年复发率分别为:6.5%、7.1%.结论:功能性颈淋巴结清扫术适用于较早期及低度恶性的头颈肿瘤手术治疗,且可获得良好的临床根治效果.
AbstractList R739.65; 背景与目的:功能性颈淋巴结清扫术自1967年Bocca提出后,在头颈外科临床中已被推广应用,但对其临床应用适应证及其临床根治效果,国内外头颈外科专家持有不同观点.本研究旨在探索功能性颈淋巴结清扫术临床应用适应证和临床根治效果.方法:对152例次功能性颈淋巴结清扫术病例,利用手术标本病理检查及随诊资料进行分析讨论.结果:152例次功能性颈清扫术,舌鳞癌20例次,喉鳞癌23例次,甲状腺乳头状癌96例次,滤泡状腺癌9例次,髓样癌4例次;舌、喉鳞癌N0、N1、N2a病例术后5年复发率分别为12.5%、14.3%、40.0%和20%、16.7%、50.0%,甲状腺乳头状腺癌N1a、N1b病例术后5年复发率分别为:6.5%、7.1%.结论:功能性颈淋巴结清扫术适用于较早期及低度恶性的头颈肿瘤手术治疗,且可获得良好的临床根治效果.
Author 杨安奎
魏茂文
伍国号
郭朱明
陈福进
李浩
宋明
许光普
张诠
陈文宽
曾宗渊
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Keywords 头颈部肿瘤
淋巴结肿瘤/继发性
颈淋巴结根治性切除术
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Snippet R739.65; 背景与目的:功能性颈淋巴结清扫术自1967年Bocca提出后,在头颈外科临床中已被推广应用,但对其临床应用适应证及其临床根治效果,国内外头颈外科专家持有不同观点.本...
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StartPage 654
Title 头颈肿瘤功能性颈淋巴结清扫术的适应证及临床根治效果
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