选择性颈廓清术治疗声门上型喉癌

Application of region-selectivity neck dissection in treatment of supraglottic larynx cancer

目的评估声门上型喉癌N1、N2期行区域选择性颈廓清术的疗效。方法对26例声门上型喉癌N1、N2期的患者重点行Ⅱ、Ⅲ区选择性颈廓清术加术后放射治疗。结果随访3～5年,单侧廓清复发3例,其中廓清侧复发1例,对侧复发2例;双侧廓清复发1例,复发率15.4%。结论声门上型喉癌N1和N2期的患者重点行Ⅱ、Ⅲ区选择性颈廓清术加术后放射治疗,虽然仍存在复发,但在减少创伤、预防颈廓清术的并发症和保证喉癌“根治”等方面收到了较好的效果。

Objective To estimate the cure effect of region-selectivity neck dissection in supraglottic larynx cancer(N1?N2). Methods The 26 cases of supraglottic larynx cancer were treated with selective neck dissection of Ⅱ,Ⅲ region and radiotherapy after operation. Results Follow-up survey was for 3-5 years,the 3 cases subjected to single lateral neck dissection relapsed. Among the 3 cases,1 case relapsed in the side of neck dissection,other 2 cases relapsed in other side of neck dissection;1 case of both sides of neck dissection relapsed.the rates of relapsing were 15.4%.Conclusion Selective neck dissection of Ⅱ,Ⅲ region and radiotherapy after operation to treat the patients of supraglottic larynx cancer(N1?N2) still has relapsing case,but it has achieved better effect in the ways of reducing wound ,preventing the complication of neck dissection and assuring 'radical cure' of laryngocarinoma.