舌癌的临床治疗与预后分析研究  

Clinical analysis of treatment and prognosis with tongue cancer

作　　者：程莉[1] 孙长伏[1] 

机构地区：[1]中国医科大学附属口腔医院头颈肿瘤科,辽宁沈阳255000110002

出　　处：《大家健康（学术版）》2012年第4期1-2,共2页

摘　　要：目的分析探讨舌癌的临床治疗方法及影响预后的因素。方法回顾性分析2009年1月至2009年12月期间在我院治疗的50例舌癌患者的临床资料,并进行统计分析。结果 50例舌癌患者中,27例接受单纯手术治疗,19例接受综合治疗,2例接受单纯放疗,2例接受放疗+化疗。临床分期高者其术后生存率较低;舌体癌患者的生存率明显高于舌根癌;存在淋巴结转移者的预后较未转移者差;综合治疗患者2年生存率最高(P<0.05)。结论无论患者是否存在颈部淋巴结的转移,舌癌手术都应行颈部淋巴结清扫术;早期发现和治疗舌癌对提高舌癌患者的生存率有显著的意义。Objective To analyze treatment and relative factors of prognosis of tongue cancer.Methods A retrospective analysis of clinical data was conducted in 50 patients with tongue cancer who were admitted in our hospital from January 2009 to December 2009.Results All 50 cases,27 cases were treatment with operation,19 cases were treatment with combined therapy,2 cases were treatment with radiotherapy and 2 cases treatment with radiotherapy with chems.Clinical stage is relevant to prognosis;survival rate of tumor in the body of tongue was higher than that of the base of tongue;the prognosis of patients whose node metastasis was positive was worse than the patients of negative node metastasis,the cases treatment with combined therapy have higher survival rate.Conclusion Radical neck dissection is necessary whether the nodes metastasis was positive or not;the early diagnose and treatment are essential to increase the survival rate and increase the quality of life.

关 键 词：口腔癌 舌癌 颈淋巴结根治性切除术 综合治疗 

分 类 号：R739.8[医药卫生—肿瘤]