摘要
目的:研究不同手术范围的颈淋巴清扫术在老年人唇癌治疗中的临床意义。方法:回顾分析81例老年唇癌患者术后颈部淋巴中淋巴转移的病理检出率,结合病员的年龄、性别、原发部位、细胞分化和临床分期,探讨唇癌患者颈淋巴清扫的合理术式。结果:唇癌的转移率不高,位于Ⅰ区的肿大淋巴结多为炎性肿大而非癌性转移,临床分期和唇癌部位与颈部淋巴转移密切相关。结论:多数唇癌患者无须做颈部淋巴处理但需术后严密观察,舌骨上颈淋巴清扫术应规范并慎用,肩胛舌骨肌上淋巴清扫术适合多数有颈部转移的唇癌患者。
Objective: To investigate the clinical significance of diffirent style radical neck dissection in the senile lip cancer. Methods: The statistic analysis ages of patients with neck dissection and the positions, histopathological types and the plane of lymphatic metastasis , the rate of positive lymph metastasis in lip cancer had been done in 81 cases. Results: The rate of lymphatic metastasis was lower in lip cancer, most of the big lymphatic node in 1 plane of metastasis were negative. Conclusion: Cervical management was unnecessary in the most patients of lip cancer. Supraomohyoid neck dissection should be done in patients with neck positive lymph metastasis in most of lip cancer patients.
出处
《中华老年口腔医学杂志》
2003年第1期22-23,共2页
Chinese Journal of Geriatric Dentistry
