【摘要】 目的比较颈清扫术(ND)不同术式对口腔鳞状细胞癌患者术后肩功能的影响。方法将66例临床颈部淋巴结阴性(cN0)口腔鳞状细胞癌患者按接受ND的术式分为根治性颈清扫术(RND)组、改良根治性颈清扫术(MRND)组和择区性颈清扫术(SND)组,采用Constant′s肩功能量表和ND损伤指数量表对术后肩功能进行评价。结果保留副神经组的患侧肩功能优于RND组(P<0·01)。在保留副神经组中,SND组的肩功能优于MRND组(P<0·01)。SND术后的肩部疼痛和功能障碍轻微。结论SND对术后肩功能影响轻微,优于RND和MRND。更多还原

【Abstract】 Objective To compare the impact of various types of neck dissection on postoperative shoulder function.Methods The shoulder functions of 66 patients with oral squamous cell carcinoma （OSCC） and cN₀ necks who underwent various types of neck dissection were evaluated by Constant′s shoulder function test and neck dissection impairment index at least 12 months after surgery.Results The patients with accessory spinal nerve reserved had better shoulder function than those with accessory spinal nerve resected. In the group with accessory spinal nerve reserved, the patients receiving selective neck dissection （SND） showed better shoulder function than those with modified radical neck dissection （MRND）. The shoulder dysfunction and pain arising from SND were minor in patients with selective neck dissection.Conclusions The shoulder function after SND was superior to those after RND and MRND.更多还原