CAJ | 학술논문

目的：探讨头颈部鳞状细胞癌采用颈分区性清扫术治疗的远期疗效。方法该次共选择50例头颈部鳞状细胞癌患者作研究对象，均为该院2010年6月-2012年6月收治，均采用颈分区清扫术治疗，对其远期疗效进行评估。结果该次研究中，复发3例，下咽癌复发1例，喉癌颈部复发1例，口腔癌复发1例。计算患者生存率，致截止随访日期止，死于原位癌5例，死于间发病2例，生存43例。结论 cN0和cN1头颈部鳞癌患者，对颈分区性清扫手术恰当运用，在远期复发及生存率方面，与传统颈清扫术效果相当，且在功能和外观上，患者较为满意，对改善术后生存质量有非常重要的意义。
목적：탐토두경부린상세포암채용경분구성청소술치료적원기료효。방법해차공선택50례두경부린상세포암환자작연구대상，균위해원2010년6월-2012년6월수치，균채용경분구청소술치료，대기원기료효진행평고。결과해차연구중，복발3례，하인암복발1례，후암경부복발1례，구강암복발1례。계산환자생존솔，치절지수방일기지，사우원위암5례，사우간발병2례，생존43례。결론 cN0화cN1두경부린암환자，대경분구성청소수술흡당운용，재원기복발급생존솔방면，여전통경청소술효과상당，차재공능화외관상，환자교위만의，대개선술후생존질량유비상중요적의의。
Objective To investigate the long-term efficacy of neck dissection partition in the treatment of head and neck squa-mous cell carcinoma. Methods A total of 50 cases of patients with head and neck squamous cell carcinoma admitted in our hospi-tal from June, 2010 to June, 2012 were selected as the subjects, and all treated by neck partition dissection, and the long-term curative effect was evaluated. Results In this study, there were 3 cases of recurrence, including 1 case of hypopharyngeal cancer recurrence, 1 case of laryngeal carcinoma of neck recurrence, 1 case of oral cancer recurrence. Calculating the survival rate of the patients, till the end of the follow-up date, 5 patients died of carcinoma in situ, 2 patients died of intercurrent disease, and 43 cas-es survived. Conclusion For patients with cN0 and cN1 in head and neck squamous cell carcinoma, if the neck partition dissec-tion is properly used, it is similar to traditional neck dissection in terms of the long-term recurrence and survival rate, and the pa-tients are more satisfied with the function and appearance, which is of very important significance in improving the postoperative survival quality.