颈廓清术的几点改进(附65例报告)

Improvemonts on radical neck dissection

目的：探讨颈廓清手术的方法以提高治疗效果。方法：于65例头颈肿瘤患者行颈廓清术时，对切口、探查入路及手术操作作了部分改进。结果：65例颈廓清术时间平均为110min，术中出血量平均为120ml，手术并发症发生率降至1．54％，术后2年生存率为86．2％（56／65），3年生存率81．6％（31／38）。结论：改进后的颈廓清术，手术时间缩短，术中出血减少，并发症少，近期疗效有所提高。

Objective:To improve the surgery of radical neck dissection for a better curative effect. Mathed:Some improvements on incision,path to.exploration and manipulation of operation were made in 65 patients withhead and neck tumors while radical neck dissection were done. Result: The average surgical time was 110 minutesand the average amount of bleeding was 120 ml in the patients when radical neck dissection had been completed.The complications decreased to 1. 54%. The surviual rates of 2 and 3 years are 86. 2% (56/65) and 81. 6 (31/38) respectively. Conclusion:With these improvements on radical neck dissection,the curative effect in the nearfuture is improved.