Study On The Clinical Application Of Selective And Modified Neck Dissection In Glottal Squamous Cell Carcinoma

Objective:To compare the clinical effect of selective and modified neck dissection in the treatment of patients with squamous cell carcinoma at cN₀ stage;Observe the statistically significant on the cleaning time,intraoperative bleeding and postoperative drainage tube extubation time,average hospitalization time,neck cleaning complications,postoperative pathological positive lymph nodes metastasis rate and survival rate.Methods:From June 2008 to June 2012,a retrospective analysis was conducted on 45cases of patients with squamous cell carcinoma in the ear,nose and throat of handan center hospital.According to the selection of regional cervical lymph node dissection and the change of benign cervical lymph node dissection,it was randomly divided into the selection group and the improvement group,and the clinical analysis was summarized.Records of two groups of patients who was cleaning time,intraoperative bleeding and postoperative drainage tube extubation time,average hospitalization time,neck cleaning complications,postoperative pathological positive lymph nodes metastasis rate and survival rate.Results:The data of the two groups were compared and analyzed,and the selection group of cervical lymph node dissection was?66.32±20.31?min.the improvement group was?106.35±20.68?min,?P<0.05?.The intraoperative blood volume selection group was?121.09±41.61?ml,and the modified group was?196.09±31.44?ml,?P<0.05?.The time selection group of the neck drainage tube was?3.82±0.66?d,and the improvement group was?5.91±1.59?d,?P<0.05?.The average hospitalization time was?15.64±1.36?d,andtheimprovementgroupwas?17.61±1.56?d,?P<0.05?.Postoperative complications of cervical lymph node dissection were 0%,and the improvement group was 17.40%?P<0.05?.The pathological positive transfer rate of cervical lymph node was 13.64%,and the improvement group was 17.40%?P>0.05?.The 3-year survival rate,5-year survival rate of selection group vs improvement group were?86.36%vs86.96%?,?77.27%vs73.91%?,?P>0.05?.Conclusion:Compared with the improved group,choose the aerotaxis analysis were performed for cN0 period on the glottis type squamous carcinoma treatment effect is best,can shorten the operation time,reduce intraoperative blood loss,reduce the risk of complications;It can significantly improve the postoperative recovery of patients,greatly shorten the average length of hospital stay,and save money for patients;The effective utilization rate of hospital ward beds has been greatly improved.