声门上型喉癌颈淋巴结转移的研究

Research on metastases in cervical lymphnode of supragalottic laryngeal carcinoma

目的 总结声门上型喉癌颈淋巴结转移特点,探讨其颈淋巴结清除范围。方法 对行颈淋巴结清除术的117例声门上型喉癌患者颈淋巴结转移情况进行分析。结果 117例患者中,共行颈淋巴结清除术139侧,其中137侧有淋巴结转移,包括 区淋巴结内癌转移112侧、区6 8侧、区2 4侧、区3侧、区1侧、区1侧,另2侧未见淋巴结转移。淋巴结内癌生长情况分别为 期17例、期2 9例、期34例、期37例。结论 声门上型喉癌颈部淋巴结转移率高,尤多见 、区,淋巴结转移癌以 、期多见。术中应以清除 、、区颈淋巴结为重点。

Objective To summarize the situation of metastases in cervical lymph-node of supragalotti c laryngeal carcinoma and discuss the area of neck clearing.Methods Using the medical record of 117 cases with supragalottic laryngeal carcinoma,retrospect analyses was done for the situation of the metastases in cervical lymph-node.Results Lymphonodeulae in 139 sides of 117 cases with supragalottic laryngea l carcinoma were cleared.Among 139 sides with the metastases of lymph-node the re were 112 sides in Ⅱ section,68 sides in Ⅲ section,24sides in Ⅳ section, 3 sides in Ⅵ section.In V and Ⅵ section there was only one side with the meta st- ases respectively.The distribution of carcinoma in lymph-node according to the stage were 17 cases in Ⅰ stage,29 cases in Ⅱ stage,34 cases in Ⅲ stage and 37cases in Ⅳ stage.Conclusions The transfer of supragalottic laryngeal car cinoma in cervical lymphonodeulae is high.Most of it are in the Ⅲ and Ⅳ secti ons,the Ⅱ,Ⅲ and Ⅳ sections are emphases in the clearing of cervical lymphon odeulae.