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目的 :探讨颈淋巴结清除术的手术改进方法及其临床效果。方法 :回顾性总结 1 38例颈淋巴结清除术患者的手术改进方法和临床效果的临床资料。结果 :病理证实有淋巴结转移 1 0 2例 ,淋巴结转移数为 1~ 36枚 ,平均手术时间为 2h ,术中出血量为 1 30ml,手术并发症为 2 .2 %。 2年、3年生存率分别为 85 .6 %和 82 .1 %。结论 :改进后的颈淋巴结清除术具有快速、安全、有效、术中出血少等优点 ,值得推广应用。
Objective: To investigate the surgical improvement of cervical lymph node dissection and its clinical effect. Methods: The retrospective summary of 38 cases of patients with cervical lymph node dissection improved surgical methods and clinical results of clinical data. Results: There were 102 cases with lymph node metastasis and 1 ~ 36 cases with lymph node metastasis. The average operation time was 2 hours. The blood loss was 130ml and the complications were 2.2%. The 2-year and 3-year survival rates were 85.6% and 82.1% respectively. Conclusion: The improved neck lymph node dissection has the advantages of rapid, safe and effective, less bleeding during operation, which is worth popularizing and applying.