声门上型喉癌选择性颈淋巴结清扫64例疗效分析

Treatment for N_0 neck of superagloottic carcinoma

目的 :探讨声门上型喉癌N0 患者潜在性颈淋巴结的处理方法。方法 :对 6 4例声门上型喉癌N0 病例进行回顾性分析。结果 :发现 6 4例声门上型喉癌N0 病例中 2 4例有颈淋巴结转移 ,转移率为 37 5 % ,5年生存率为 75 5 %。结论 :声门上型喉癌N0 颈部的治疗应采取积极态度。选择性区域性颈清扫 ,可避免根治性颈清扫术给患者造成不必要的伤害 ,且能达到相同的治疗效果 。

Objective:To study the effectiveness of selective neck dissection in the treatment of No superahloottic carcinoma.Method:Descriptive study was applied in sixty-four N 0 superahloottic carcinoma case which treated by selective neck dissection.Result:Twenty-four patients were found with neck metastases by the pathological examination.The rate of metastases was 37.5%,Five years survival rate was 755.5%,Conclusion:The selective neck dissection was a available way in the treatment of N 0 superahloottic carcinoma.