术中超声在舌癌切除术中的应用  

Outcomes of intraoperative ultrasound in oral tongue cancer resection

作　　者：林天祯 王文锋 陈芳怡 LIN Tian-zhen;WANG Wen-feng;CHEN Fang-yi(Department of oral and maxillofacial surgery,the 910 Hospital of PLA Joint Logistics Support Force,Fujian Quanzhou 362000,China.)

机构地区：[1]解放军联勤保障部队第910医院口腔颌面外科,福建泉州362000

出　　处：《临床口腔医学杂志》2020年第2期98-101,共4页Journal of Clinical Stomatology

摘　　要：目的:探讨术中超声在舌癌切除术中应用的可靠性和有效性。方法:将48例舌癌患者按术中切除方式随机分为观察组和对照组,每组各24例。观察组术中通过B超探头确定肿瘤切除边界进行舌癌切除,对照组术中通过手指触摸确定肿瘤切除边界进行舌癌切除。记录比较两组的肿瘤切除时间、切除次数、出血量、首次术中冰冻切片上的最小正常组织间隙和最大正常组织间隙。结果:观察组的肿瘤切除时间(41.96±7.06)min、出血量(45.04±9.01)m L均优于对照组(80.38±10.24)min、(77.71±13.92)m L,差异有统计学意义(P<0.01)。观察组均为一次性成功切除肿瘤,而对照组切除次数1~4次,平均(1.92±0.97)次,差异有统计学意义(P<0.01)。对照组中最小正常组织间隙(9.50±2.51)mm和最大正常组织间隙(19.80±3.05)mm,分别与观察组(12.35±1.10)mm,(14.08±1.26)mm比较,差异有统计学意义(P<0.01)。结论::术中超声的应用,可以实现高效、精准、安全的舌癌瘤外切除,还可尽量保留正常组织,是一项值得推广的舌癌切除术中辅助手段。Objective:To investigate the feasibility and effect of intraoperative ultrasound in oral tongue cancer resection.Methods:Forty-eight patients with tongue cancer were randomly dicided into observation group and control group according to the way of resection during operation.There were 24 cases in observation group confirming margin of tongue cancer with B-ultrasound and the other 24 cases in control group confirming margin of cancer with finger.Time of resection,frequency of resection,blood loss,minimal and maximal distance of normal tissue were recorded.Results:There was significant difference regard to time of resection and blood loss between two groups(P<0.01).Patients in observation group were resected by one time,and those in control group were resected by(1.92±0.97)times(range 1 to 4 times),and there was significant difference between two groups(P<0.01).There was singnificant difference regarded to minimal and maximal distance of normal tissue between control group(9.50±2.51)mm,(19.80±3.05)mm and observation group(12.35±1.10)mm,(14.08±1.26)mm(P<0.01).There were no significant differences in postoperative complication between two groups(P>0.05).Conclusion:Interoperative ultrasound is worth popularizing for resecting tongue cancer outside the boundary efficiently,accurately and safely and reserving more normal tissue.

关 键 词：舌癌切除术 术中超声 肿瘤切除间隙 瘤外切除 

分 类 号：R739.86[医药卫生—肿瘤]