摘要
目的 评价对于舌鳞癌无区域性淋巴结转移患者选择性颈淋巴清扫的必要性。方法 对130例舌癌颈淋巴结临床阴性的患者用Cox回归模型(Coxregressionmodel,Cox模型)多因素分析方法,分析了影响颈部转移的因素,同时比较颈部淋巴清扫与否两组的生存效果。结果 原发灶T分级、治疗方法及放疗与颈淋巴结复发有明显相关意义,是否颈淋巴清扫及其他几个因素则与复发无关,其生存率表明差异无显著性,生存率分别在73.5%及69.3%(P=0.5923)。结论 早期舌癌经临床仔细检查未发现转移的淋巴结时,对原发灶放射治疗后手术者,可以不必行选择性颈淋巴清扫术。
Objective To assess whether the elective neck dissection would be beneficial as a routine management in the N 0 squamous cell carcinoma of the tongue.Methods Cox regression model was used for analysis of tongue cancer cases treated by our hospital in a period from 1958 to 1996.Results Size of primary tumor and preoperative radiation showed significant difference in relation to cervical lymph node recurrence or metastasis. Neck dissection in the series was not a factor to influence the rate of cervical recurrence or survival. 5 years survival was 73.5% versus 69.3% in patients who underwent elective neck dissection and those without neck dissection (difference not statistically significant).Conclusion We suggest that elective neck dissection would be avoided in T 1 or T 2 patients who have no neck node metastases.
出处
《中华口腔医学杂志》
CAS
CSCD
北大核心
1999年第4期199-201,共3页
Chinese Journal of Stomatology
关键词
癌
鳞状细胞
舌肿瘤
选择性颈清扫
Carcinoma, squamous cell Tongue neoplasms Elective neck dissection
