舌癌颈淋巴结的外科处理  

Surgical treatment of cervical lymph node in tongue cancer

作　　者：徐家友[1] 

机构地区：[1]河南省商丘市第一人民医院口腔科,476100

出　　处：《中国实用医刊》2011年第14期22-23,共2页Chinese Journal of Practical Medicine

摘　　要：目的回顾性分析105例舌体鳞癌颈淋巴结转移的处理方法。方法跟踪105例舌癌患者的临床治疗，分析手术的具体方式，主要包括外科手术治疗基本的适应证总结及发生颈部淋巴结转移现象的外科处理。结果病理分级与淋巴结转移关系无相关性（P〉0．05），全组5年生存率为39．75％，舌部分切除加下颌骨部分切除或下颌骨槽型切除的5年生存率分别为39．64％和38．58％。结论舌癌颈淋巴结转移与年龄、肿瘤发生部位密切相关，部分患者可发生早期的隐匿性转移，颌下和颈深上区是舌癌转移的集中部位．Objective To retrospectively analyze the treatment of 105 cases of tongue squamous cell carcinoma with lymph node metastasis. Methods Tracking 105 cases of clinical treatment of tongue cancer patients, specific ways of operation, including indications for surgical treatment of the basic sum up, the surgical treatment of occurrence of the phenomenon of cervical lymph node metastasis. Results Relationship between histological grade and lymph node metastasis was no significant difference （ P 〉0.05）, overall 5 year survival rate was 39.75%, partial tongue resection and partial resection of the mandible or mandibular groove cut in the 5 - year survival rates were 39.64% and 38.58%. Conclusions Cervical lymph node metastasis of tongue cancer and age, tumor location are closely related, can occur in some patients early in the occult metastasis, submandibular and deep cervical metastasis is the focus area in tongue cancer.

关 键 词：舌肿瘤 鳞状细胞癌 颈淋巴结 外科 

分 类 号：R73[医药卫生—肿瘤]