颈清扫术不同术式对cN0 口腔鳞状细胞癌患者肩功能的影响.pdfVIP

cN 0 栾修文 毛驰 俞光岩 郭传 黄敏娴 马大权 ! ( ND ) 66 ( cN0 ) ND ( RND ) ( M RND ) ( SND ) , Cons an ∀s N D RND (P 001) , SND M RND ( P 001) SND SND , RND MRND ! , ; ; The im pacts of various types of neck dissection on postoperative shoulder function for patients w ith * oral squamous cell carcinom a L UAN X iuwen , MAO Chi, YU Guangyan, GUO Chuanbin, H UAN G * M inx ian, MA D aquan D ep artm ent f Oral and M ax ill f acial Surg ery, Guangd ng P r vincial S t m at l g icalH sp ital, Guangzh u 510280, China C rresp nding auth r: MAO Chi, D epartmen t f Oral andM ax illf acial Surgery, P eking University Sch l and H sp ital f S t ma t l gy, B eij ing100081, China, Ema il: m a ch@i 2911net, Tel: 010621799772295 Abstract! Objective T o com pa re he im pac o f var iou s ypes o f neck d issec ion on pos opera ive shoulde r func ionM ethods The shou lder func ions of 66 pa ien s w i h oral squam ou s ce ll carc inom a ( OSCC) and cN 0 necks w ho underw en v ariou s ypes of neck dissec ion w ere eva lua ed by Cons an ∀s shoulde r func ion es and neck d issec ion im pairm en index a leas 12 m on hs af er surg eryResults The pa ien s w i h accessory sp inal nerve reserved had be er shoulde r func ion han hose w i h accesso ry sp inal nerv e resec ed In he group w i h accessory sp inal nerve reserved, he pa ien s receiv ing se lec ive neck d issec ion ( SND ) show ed be er shou lder func ion han hose w i h m odif ied rad ica l neck d issec ion ( M RND ) . T he shoulde r dysfunc ion and pa in ar is ing from SND w ere m inor in pa ien s w i h se lec ive neck d issec ionConclusions The shou lder func ion a f er SND w as super io r o hose af er RND and M RND Key words! Carc inom a, squamou s ce l;l N eck d issec