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I - Submental and submandibularI - 颏下和下颌下 II - Upper jugularII - 上颈静脉 III - Mid jugularIII - 中颈静脉 IV - Lower jugular and medial supraclavicularIV - 下颈静脉和内侧锁骨上 V - Posterior triangle and SupraclavicularV - 后三角和锁骨上 VI - Anterior cervicalVI - 颈前肌 VII - Retropharyngeal and retrostyloidVII -咽后和茎突后 VIII - Parotid八 - 腮腺 IX - BuccofacialIX - 颊面 X - Retroauricular and occipitalX - 耳后和枕骨 In this cervical lymph node map the levels were extended to 10. 在这个颈部淋巴结图中，水平扩展到 10。 Some of these are being divided into sub-levels to correspond more completely with the TNM atlas.其中一些被划分为子级别，以便与 TNM 地图集更完整地对应。 基于美国头颈学会和美国耳鼻咽喉-头颈外科学会提出的命名法
Hyoid bone舌骨 Cricoid环状 Carotids颈动脉 Sternocleidomastoid muscle胸锁乳突肌 Manubrium of sternum胸骨柄
I - Submental and submandibularI - 颏下和下颌下
Nodes in level I are at risk of developing metastases from cancers of the oral cavity, anterior nasal cavity and the soft tissues of the mid-face and the submandibular gland. I 级淋巴结有发生口腔癌、前鼻腔癌以及面中部和下颌下腺软组织转移的风险。 Level Ia一级 is a median region located between the anterior belly of the digastric muscles, which contains the submental nodes. 是位于二腹肌前腹之间的中间区域，其中包含颏下结节。 Level IbⅠb级 contains the submandibular nodes located in the space between the inner side of the mandible laterally and the digastric muscle medially, from the symphysis menti anteriorly to the submandibular gland posteriorly. 包含位于下颌外侧内侧和内侧二腹肌之间的空间的下颌下淋巴结，从前面的颏联合到后面的下颌下腺。 II - Upper jugularII - 上颈静脉
Level II receives lymphatics from the face, the parotid gland, and the submandibular, submental and retropharyngeal nodes. II 级接受来自面部、腮腺和下颌下、颏下和咽后淋巴结的淋巴管。 Level II also directly receives the collecting lymphatics from the nasal cavity, the pharynx, the larynx, the external auditory canal, the middle ear, and the sublingual and submandibular glands II 级还直接接收来自鼻腔、咽、喉、外耳道、中耳、舌下腺和下颌下腺的集合淋巴管 。 Level II can be divided into level IIa and level IIb by drawing a line at the posterior edge of the internal jugular vein. II级可通过在颈内静脉后缘画一条线分为IIa级和IIb级。
The nodes in level IIa and IIb are at risk of harboring metastases from cancers of the nasal and oral cavity, nasopharynx, oropharynx, hypopharynx, larynx and major salivary glands. IIa 和 IIb 级的淋巴结有转移鼻腔和口腔癌、鼻咽癌、口咽癌、下咽癌、喉癌和主要唾液腺癌的风险。 Level IIb is more likely associated with primary tumors of the oropharynx or nasopharynx, and less frequently with tumors of the oral cavity, larynx or hypopharynx IIb 级更可能与口咽部或鼻咽部的原发性肿瘤相关，而与口腔、喉部或下咽部的肿瘤较少相关。 III - Mid jugularIII - 中颈静脉
Level III receives efferent lymphatics from levels II and V, and some efferent lymphatics from the retropharyngeal, pretracheal and recurrent laryngeal nodes.III级接受来自II级和V级的传出淋巴管，以及来自咽后、气管前和喉复发淋巴结的一些传出淋巴管。It collects the lymphatics from the base of the tongue, tonsils, larynx, hypopharynx and thyroid gland.它从舌根、扁桃体、喉部、下咽部和甲状腺收集淋巴管。
he inferior border of the cricoid is the border between level III and IVA. 环状软骨的下缘是III级和IVA级之间的边界。 Nodes in level III are at risk of harboring metastases from cancers of the oral cavity, nasopharynx, oropharynx, hypopharynx and larynx. III 级淋巴结存在口腔癌、鼻咽癌、口咽癌、下咽癌和喉癌转移的风险。 IV - Lower jugular and medial supraclavicularIV - 下颈静脉和内侧锁骨上
The border between level IVa and IVb is set arbitrarily 2 cm cranial to the sterno-clavicular joint.
IVa 和 IVb 水平之间的边界任意设置为距胸锁关节颅侧 2 cm。These nodes are at risk for harboring metastases from cancers of the hypopharynx, larynx, thyroid and cervical esophagus. 这些淋巴结有转移下咽癌、喉癌、甲状腺癌和食管颈癌的风险。 Rarely metastases from the anterior oral cavity may manifest in this location with minimal or no proximal nodal disease. 来自前口腔的罕见转移可能会出现在这个位置，几乎没有或没有近端淋巴结疾病。 Level IVbThese nodes are at risk for harboring metastases from cancers of the hypopharynx, subglottic larynx, trachea, thyroid and cervical esophagus. Ⅳb级 这些淋巴结有转移下咽癌、声门下喉癌、气管癌、甲状腺癌和食管颈癌的风险。 V - Posterior triangle and SupraclavicularV - 后三角和锁骨上
Level V contains the nodes of the posterior triangle group located posteriorly to the sternocleidomastoid muscle around the lower part of the spinal accessory nerve and the transverse cervical vessels. V 级包含位于胸锁乳突肌后方的后三角组的淋巴结，这些淋巴结位于脊髓副神经下部和颈横血管周围。
Nodes in level V are most often associated with primary cancers of the nasopharynx, the oropharynx, the cutaneous structures of the posterior scalp, and the thyroid gland. V 级淋巴结最常与鼻咽、口咽、头皮后部皮肤结构和甲状腺的原发性癌症相关。
This level contains the lateral supraclavicular nodes located in the continuation of the posterior triangle nodes (level Va and Vb) from the cervical transverse vessels down to a limit set arbitrarily 2 cm cranial to the sternal manubrium. 该水平包含锁骨上外侧淋巴结，位于后三角淋巴结（Va 和 Vb 水平）的延续部分，从颈横血管向下至任意设定的 2 cm 颅骨至胸骨柄。 It corresponds partly to the area known as the supraclavicular fossa.它部分对应于称为锁骨上窝的区域。 Level Vc receives efferent lymphatics from the posterior triangle nodes (level Va and Vb) and is more commonly associated with nasopharyngeal tumors Vc 级接收来自后三角淋巴结（Va 和 Vb 级）的传出淋巴管，更常与鼻咽肿瘤相关。 Transverse cervical artery颈横动脉 VI - Anterior cervicalVI - 颈前肌
This level contains the superficial anterior jugular nodes (level VIa) and the deeper prelaryngeal, pretracheal, paratracheal and recurrent laryngeal nerve nodes (level VIb).该层级包括颈前浅表淋巴结（VIa 级）和更深的喉前、气管前、气管旁和喉返神经节点（VIb 级）。Level VIa六级 This level contains the superficially located anterior jugular nodes. 该级别包含位于表面的颈前静脉淋巴结。 Level VIbThis level is contained between the medial borders of the common carotid arteries. Ⅵb级 这个水平包含在颈总动脉的内侧边界之间。 The nodes in this area are:该区域的节点有： pre-laryngeal nodes in front of the larynx and cricoid喉和环状软骨前的喉前淋巴结 pre-tracheal nodes in front of the trachea 气管前方的气管前淋巴结 paratracheal nodes also called recurrent laryngeal nerve nodes气管旁结节又称喉返神经结节
Delphian lymph node德尔菲淋巴结 The Delphian lymph node derived its name from the oracle of Delphi, whose prophecy would be a death secondary to laryngeal cancer. 德尔菲淋巴结的名字来源于德尔菲神谕，其预言将是继发于喉癌的死亡。 It is a pretracheal node in level VIa located anterior to the cricoid and in between the cricothyroid muscles. 它是位于环状软骨前方和环甲状肌之间的 VIa 水平的气管前结节。 VII - Retropharyngeal and retrostyloidVII - 咽后和茎突后
Retropharyngeal nodes receive lymphatics from the mucosa of the nasopharynx, the Eustachian tube and the soft palate. 咽后淋巴结接收来自鼻咽粘膜、咽鼓管和软腭的淋巴管。 These nodes are at risk of harboring metastases from cancers of the nasopharynx, the posterior pharyngeal wall and the oropharynx (mainly the tonsillar fossa and the soft palate). 这些淋巴结有转移鼻咽癌、咽后壁和口咽癌（主要是扁桃体窝和软腭）的风险。
Level VIIa - retropharyngealVIIa级 - 咽后 These nodes lie within the retropharyngeal space, extending cranially from the upper edge of the first cervical vertebrae (massa lateralis) to the cranial edge of the body of the hyoid bone caudally (figure). 这些淋巴结位于咽后间隙，从第一颈椎（外侧块）的上边缘向颅侧延伸到尾侧舌骨体的颅侧。 This space is bounded anteriorly by the pharyngeal constrictor muscles and posteriorly by the longus capitis and longus colli muscles. 这个空间的前面是咽缩肌，后面是头长肌和颈长肌。 Laterally, the retropharyngeal nodes are limited by the medial edge of the internal carotid artery. 从侧面看，咽后淋巴结受限于颈内动脉的内侧边缘。 Retropharyngeal nodes receive efferent lymphatics from the mucosa of the nasopharynx, the Eustachian tube and the soft palate. 咽后淋巴结接收来自鼻咽粘膜、咽鼓管和软腭的传出淋巴管。 These nodes are at risk of harboring metastases from cancers of the nasopharynx, the posterior pharyngeal wall and the oropharynx (mainly the tonsillar fossa and the soft palate). 这些淋巴结有转移鼻咽癌、咽后壁和口咽癌（主要是扁桃体窝和软腭）的风险。
Level VIIb - retrostyloid VIIb 级 - 茎突后 The retro-styloid nodes are the cranial continuation of the level II nodes. 茎突后淋巴结是 II 级淋巴结的颅骨延续。 They are located in the fatty space around the jugulo-carotid vessels up to the base of skull at the jugular foramen. 它们位于颈静脉-颈动脉血管周围的脂肪空间中，直至颈静脉孔处的颅底。 The retro-styloid space is delineated by the internal carotid artery medially, by the styloid process and the deep parotid lobe laterally, by the vertebral body of C1 and the base of skull posteriorly and by the pre-styloid para-pharyngeal space anteriorly. 茎突后间隙：内侧为颈内动脉，外侧为茎突和腮腺深叶，后方为C1椎体和颅底，前方为茎突前咽旁间隙。 VIII - Parotid八 - 腮腺
This level contains the parotid node group, which includes the subcutaneous pre-auricular nodes, the superficial and deep intraparotid nodes and the subparotid nodes. 该级别包含腮腺淋巴结组，其中包括皮下耳前淋巴结、浅表和深部腮腺内淋巴结和腮腺下淋巴结。 These nodes extend from the zygomatic arch and the external auditory canal down to the mandible.这些节点从颧弓和外耳道向下延伸到下颌骨。 They extend from the subcutaneous tissue laterally to the styloid process medially, and from the posterior edge of the masseter and the pterygoid muscles anteriorly to the anterior edge of the sternocleidomastoid muscle and the posterior belly of the digastric muscle posteriorly [1].它们从外侧皮下组织延伸到内侧茎突，从咬肌和翼肌后缘向前延伸到胸锁乳突肌前缘和二腹肌后腹 [1]。 The parotid group receive lymphatic from the frontal and temporal skin, the eyelids, the conjunctiva, the auricle, the external acoustic meatus, the tympanum, the nasal cavities, the root of the nose, the nasopharynx, and the Eustachian tube. 腮腺组接受来自额颞皮肤、眼睑、结膜、耳廓、外耳道、鼓室、鼻腔、鼻根、鼻咽和咽鼓管的淋巴管。 They are at risk of harboring metastases from cancers of the frontal and temporal skin, orbit, external auditory canal, nasal cavities and parotid gland.他们有转移额叶和颞叶皮肤癌、眼眶癌、外耳道癌、鼻腔癌和腮腺癌的风险。 IX - BuccofacialIX - 颊面
Level IX contains the malar and bucco-facial node group, which includes inconsistent superficial lymph nodes around the facial vessels on the external surface of the buccinator muscle.IX 级包含颧骨和颊面部淋巴结组，其中包括在颊肌外表面的面部血管周围不一致的浅表淋巴结。 These nodes extend from the caudal edge of the orbit (cranially) down to the caudal edge of the mandible (caudally) where they reached level Ib. 这些节点从轨道（颅侧）的尾缘向下延伸到下颌骨（尾侧）的尾缘，在那里它们达到 Ib 水平。
They lay on the buccinators muscle (medially) in the sub-cutaneous tissue, from the anterior edge of the masseter muscle and the Bichat’s fat pad (posteriorly) to the anterior sub-cutaneous tissue of the face. 它们位于皮下组织中的颊肌（内侧）上，从咬肌前缘和 Bichat 脂肪垫（后侧）到面部前部皮下组织。
The bucco-facial nodes receive efferent vessels from the nose, the eyelids, and the cheek. 颊面部节点接收来自鼻子、眼睑和脸颊的传出血管。 They are at risk of harboring metastases from cancers of the skin of the face, the nose, the maxillary sinus (infiltrating the soft tissue of the cheek) and the buccal mucosa. 他们有转移面部皮肤癌、鼻子癌、上颌窦癌（浸润面颊软组织）和颊黏膜癌的风险。 X - Retroauricular and occipitalX - 耳后和枕骨
Level Xa contains the retroauricular (also called mastoid) and subauricular nodes, which includes superficial nodes lying on the mastoid process from the cranial edge of the external auditory canal cranially to the tip of the mastoid caudally. Xa水平包含耳后（也称为乳突）和耳下淋巴结，其中包括位于乳突上的浅表淋巴结，从外耳道颅缘颅侧到乳突末端尾侧。 Level Xb contains the occipital lymph nodes, which are the cranial and superficial continuation of the level Va nodes up to the cranial protuberance. They lie from the posterior edge of the sternocleidomastoid muscle to the anterior (lateral) edge of the trapezius muscle. Xb水平包含枕部淋巴结，它们是 Va 水平淋巴结的颅面和浅表延续，直至颅骨隆突。它们位于从胸锁乳突肌的后边缘到斜方肌的前（外侧）边缘。
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