摘要
目的:探讨同期双侧颈部淋巴结清扫术在头颈部肿瘤患者中的疗效。方法:将我院2008年6月～2011年6月期间收治的67例头颈部肿瘤患者临床资料分为两组:对照组33例采用传统方法分期颈淋巴结清扫手术;观察组34例采用同期双侧颈淋巴结清扫术,然后比较两组的临床疗效。结果:观察组术后发生乳糜漏2例,呼吸困难2例;对照组发生创口出血1例、呼吸困难1例,乳糜漏1例,术后并发症发生率分别为11.8%和9.1%,差异无统计学意义(P>0.05)。观察组和对照组的复发率分别为20.6%和33.3%,差异具有统计学意义(P<0.05)。结论:在患者自身条件允许的情况下选择同期双侧颈部淋巴结清扫术是安全的而有效的方法,值得推广。
Objective：To investigate the simultaneous bilateral radical neck dissection in head and neck cancer patients curative effect.Methods：The hospital treated 67 cases of head and neck cancer patients with clinical data were divided into two groups：33 cases in the control group using the traditional method of staging of cervical lymph node dissection operation;observation group of 34 cases with bilateral cervical lymph node dissection.Results：The observation group and the control group the incidence of postoperative complications were 11.8% and 9.1%,the difference was not statistically significant（P0.05）;observation group a recurrence rate of 20.6%,lower than 33.3% in the control group,the difference was statistically significant（P0.05）.Conclusion：In patients with autoimmune conditions allow selection of simultaneous bilateral radical neck dissection is safe and effective,worthy of promotion.
出处
《中国医药导刊》
2012年第11期1885-1886,共2页
Chinese Journal of Medicinal Guide
关键词
双侧
同期
淋巴结清扫
头颈部肿瘤
Bilateral
Synchronization
Lymph node dissection
Head and neck cancer
