【摘要】 目的　为了探讨舌癌颈淋巴结转移的部位及外科手术术式选择。方法　对我科 1978～1998年手术治疗的68例舌癌病人进行回顾性分析。 结果　舌癌沿淋巴道转移到颈部，转移率40.98%，且沿颈淋巴系统垂直链颈上—颈中—颈下淋巴结逐步扩散。舌癌颈淋巴结转移选择性根治术复发率为12.5%(5/40) ；而选择性舌骨上清扫术复发率 30.8%(4/13)。结论　舌癌颈淋巴结转移应扩大选择性颈淋巴结清扫术的适应证；肩肿舌骨上颈淋巴结清扫术只适用于颈淋巴结临床阴性的预防性手术术式；单纯舌骨上颈淋巴结清扫术应慎用 。更多还原

【Abstract】 To study the location and the operation methods of metastases of lingual carcinoma to cervical lymph nodes. Methods A retrospective analysis was performed in 86 cases of lingual carcinoma treated by surgical operation from 1978 to 1998. Results Lingual carcinoma metastasize along the vertical chain of cervical lymph passage from the upper to the middle and the lower cervical lymph nodes, with the metastasis rate of 40.98%.The recurrent rate of metastases of cervical lymph nodes of lingual carcinoma treated by elective radical neck dissections was 12.5%（5/40）, while the recurrent rate was 30.8%（4/13）,when suprahyoid neck dissection was chosen. Conclusion The metastases of cervical lymph nodes of lingual carcinoma were indications of expanded elective radical neck dissection.Supraomohyoid neck dissection was only a preventive operation when no clinical cervical metastases were demonstrable.Suprahyoid neck dissection should use cautiously.更多还原