1例N_0舌癌患者的循证治疗  

作　　者：张丰雷[1] 

机构地区：[1]山东万杰医学院口腔系,255213

出　　处：《当代医学》2011年第19期96-98,共3页Contemporary Medicine

摘　　要：目的为1例T2N0M0舌癌患者循证制定合理的治疗方案。方法针对T2N0M0舌癌患者是否需要颈部手术、放疗的时机选择及手术后选用何种方法修复,以"tongueneoplasms"为检索词全面检索Cochranelibrary、MEDLINE,获取并评价相关的系统评价、随机对照试验及临床对照试验,并将最佳证据应用于临床。结果有12篇文献符合标准,结果表明肩胛舌骨上清扫、术后放疗、股前外侧皮瓣修复均较其他效果好。据此证据及患者的实际情况于全麻手术,术后并未发生任何并发症。术后密切随访。结论肩胛舌骨上清扫、术后放疗及股前外侧皮瓣修复对于早期舌癌患者有很好的疗效。Objective To formulate an evidence-based treatment plan for a N0 stage tongue cancer. Methods Based on the clinical problems whether the patients of T2N0M0 stage of tongue cancer need neck surgery or not,time chosen of radiation therapy and reconstruction method. We used ＂tongue neoplasm＂ as key words and searched The Cochrane Library,MEDLINE for systematic reviews,randomized controlled trials（RCTs） ,controlled clinical trials. The best evidence will be applied in patient. Result 12 literatures were found. The result showed that supraomohyoid neck dissection,radiation after surgery and anterolateral femoral skin flap are better than other methods. Based on the current evidence,we performed the surgery under general anesthesia. The postoperation was uneventful. Conclusion Supraomohyoid neck dissection,radiation after surgery and anterolateral femoral skin flap can be applied in treatment of early stage tongue cancer.

关 键 词：早期舌癌 颈淋巴清扫术 放疗 修复 循证治疗 

分 类 号：R739.8[医药卫生—肿瘤]