【摘要】 目的为喉癌、下咽癌临床TNM分级和颈部手术治疗的范围提供可靠的依据。方法对36例触诊阳性淋巴结的颈部进行CT扫描和病理结果进行对照研究。结果 CT较触诊对转移淋巴结有更高的准确性。CT使4例N₁降为N₀,9例N_2a升为N_2b,2例N_2b,升为N_2c,使颈部阳性淋巴结诊断的准确率由41.6%提高到83.3%。结论建议:CT扫描应作为触诊阳性病人检查纳入常规之中,以期对颈部转移淋巴结有更正确的评价。更多还原

【Abstract】 PURPOSE In order to provide dependable basis for clinical TNM stages and surgical range of laryngeal and laryngopharyngeal carcinoma.METHODS 36 sides of palpative cervical positive lymphatic nodes of larynx and hypopharynx were evaluted by CT before undergoing selective neck dissection (SND). The diagnosis of CT and postoperative pathologic findings were correlated.RESULTS The use of CT for clinical positive nodes raise the diagnosis accurate rate from 41.67% of palpation to 83.3% of CT. CT correct 4 sides of N0 to N1, 9 sides N2a to N2b and 2 sides N2b to N2c. CT is more accurate than clinical palpation.CONCLUSIONS The CT scanning of clinical positive necks should be routinely conducted in order to improve the diagnostic rate in metastatic cervical lymph nodes.更多还原