21例会厌癌侵及舌根的治疗  

The Treatment of Epiglottic Cancer Involving the Root of the Tongue:A Report of 21 Cases

作　　者：邹辉文[1] 孔凡莉[1] 汤杰[1] 

机构地区：[1]九江市第一人民医院耳鼻喉科,江西省九江市332000

出　　处：《中国肿瘤临床》2007年第11期647-649,共3页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨会厌癌侵及舌根的治疗方法。方法:会厌癌侵及舌根患者21例,均行颈清扫、水平喉部分切除及胸骨舌骨肌筋膜瓣舌根成形术,术后进行放疗。结果:术后无1例发生舌根坏死,均恢复发音、吞咽及伸舌功能。随访3年,失访3例,3年生存15例,拔管率100%。结论:经颈清扫、水平喉部分切除及胸骨舌骨肌筋膜瓣舌根成形术,术后放疗,是一种较好的治疗会厌癌侵及舌根的方法。Objective： To establish effective therapy for epigl tongue. Methods： All 21 patients with epiglottic carcinoma involvi ottic cancer involving the root of the the root of the tongue received radical neck dissection, horizontal partial laryngectomy and lingual-root plasty of the sternohyoid myofascial flap and then postoperative radiotherapy was performed. Results： No postoperative necrosis of the lingual root was found and all patients resumed normal pronunciation, deglutition and tongue extension functions. Follow-up was carried out for 3 to 5 years, and loss of visit occurred in only 3 cases. A 3-year survival was found in 15 of the 21 cases （71.4%）, 4-year survival was found in 10 of the 18 cases （55.6%） and 5-year survival was found in 6 of the 14 cases （42.9%）. The decannulation rate was 100%. Conclusion： Neck dissection, horizontal partial laryngectomy and sternohyoid myofascial flap plasty with postoperative radiotherapy was a reasonable and safe method for treatment of epiglottic carcinoma involving the root of tongue.

关 键 词：会厌肿瘤 舌根 外科手术 放疗 

分 类 号：R739.6[医药卫生—肿瘤]