功能性颈淋巴结清除术在头颈部恶性肿瘤治疗中的应用

APPLICATION OF FUNCTIONAL NECK NODES DISSECTION IN THE TREATMENT OF THE HEAD AND NECK MALIGNANCIES

本文作者总结功能性颈淋巴结清除术(FND)治疗19例头颈部恶性肿瘤(非甲状腺癌)的经验,并对颈淋巴结清除术后颈部标本、颈动脉鞘和胸锁乳突肌筋膜作前瞻性病理组织学检查。19例FND标本中,淋巴结阳性9例(47.4％),而颈动脉鞘和胸锁乳实肌筋膜全部无肿瘤残留。随诊8～24个月,全组病例无颈部淋巴结复发征。术后颈部外形和功能良好(作者认为FND适用于N_0,N_1,N_2和部分N_3病例,只要病例选择恰当,FND可望同RND一样,可达到根治颈部淋巴结的目的。

The purpose of this paper is to sum up the experience of f unctkmal neck nodes dissection (FND) for the tre at ment of the head and neck malignancies, especially to study prospectively the involvement of the cervical lymph nodes, carotid sheaths and sternocleidom astoid muscles. In this group among 19 neck node specimens, there were nine with cervical lymphatic metastasis but none with spinal accessory lymph nodes,carotid sheath and sternocleidom astoid involvement. The patients of this series were followed-up for 8 to 24 months, no recurrence in the neck nodes was found. Both the shape and function of the neck was favorable. We considered that FND is suitable for the cases of NO, Nl, N2 or some selected cases of N3