保持下颌骨完整性改良联合根治术在中晚期舌癌治疗中的应用  

Modified combined radical neck dissection remaining integrality of mandible for the treatment of advanced tongue squamous cell carcinoma

作　　者：廖贵清[1] 唐海阔[1] 黄洪章[1] 

机构地区：[1]广州中山大学附属口腔医院颌面外科,510055

出　　处：《实用口腔医学杂志》2006年第1期8-10,共3页Journal of Practical Stomatology

摘　　要：目的:探讨保留下颌骨完整性的改良舌鳞癌联合根治术的操作要点、适应证及临床效果。方法:在研究舌外肌、舌下腺及下颌骨的特点,以及颌周淋巴引流特点的基础上,选择临床39例T3-T4舌鳞癌病例,行改良联合根治术,保留下颌骨及牙槽突的完整性。结果:39例均保存下颌骨及牙槽突的完整性,其中直接拉拢缝合9例,30例采用组织瓣修复舌及口底缺损,所有病例均保存良好的咬合功能;术后1年原发灶复发1例,3年原发灶复发9例,淋巴及远处转移5例;3年生存率为(61.72±5.44)%。结论:对于未侵犯下颌骨内侧黏膜的舌鳞癌病例,改良的保留下颌骨完整性的联合根治术能获得良好的生存质量,而不影响对原发灶的控制。Objective：To investigate the feasibility of modified combined radical neck dissection remaining integrality of mandible in the surgical management of advanced tongue squamous cell carcinoma. Methods ：39 cases of advanced tongue squamous cell carcinoma received modified combined radical operation remaining integrality of mandible,7-year follow-up was conducted. Results：Integrality of mandible and the function of mastication were remained in all the cases. 1 and 3 years after operation there were 1 case and 9 cases of recurrence respectively. Metastasis was found in 5 cases. The 3-year survival rate was （61.72 ±5.44）%. Conclusion：The modified combined radical neck dissection remaining integrality of mandible is feasihle in the treatment of advanced tongue squamous cell carcinoma.

关 键 词：口腔肿瘤 舌鳞癌 下颌骨完整性 改良联合根治术 

分 类 号：R739.8[医药卫生—肿瘤]