头颈肿瘤颈淋巴结清扫的手术选择

Selection of neck dissection operation for head neck cancer

作为治疗与预防头颈恶性肿瘤颈部淋巴结转移的首要方法,颈淋巴结清扫术经过一百多年的发展,已经日趋规范合理。但是,由于头颈恶性肿瘤的种种特殊性导致其颈部淋巴结转移有较大的不确定性,头颈外科医师在施行原发灶手术时,往往会面临是否需要行颈淋巴结清扫术、如何确定颈淋巴结清扫范围的困惑。根据常见头颈恶性肿瘤的颈淋巴结转移特性及手术对患者的创伤程度,梳理出当前较为规范的颈淋巴结清扫术术式,为头颈外科医师提供参考,有助于改善头颈恶性肿瘤颈部淋巴结治疗和预防的总体效果。

As the primary surgical procedure of treating and preventing cervical lymph node metastasis in head and neck cancers,neck dissection(ND)have increasingly becoming standardized and reasonable since the past hundred years.However,the preoperative uncertainty of cervical lymph node metastasis for patient with head neck cancer,whether perform ND and the dissection region often confuse the surgeons.Provide a currently standardized ND operation manner according to the metastatic characteristics and operative wound degree as a reference to surgeons may facilitate the therapeutic and prevent effects on patients with head and neck cancer.