大范围下唇癌的术式探讨  

Study on the Operation Method of Large Scale Lower Lip Carcinoma

作　　者：才越[1] 谭学新[2] 佟爽[2] 胡玉乾[3] 张仁儒[1] 

机构地区：[1]辽宁省葫芦岛市中心医院,辽宁葫芦岛125001 [2]中国医科大学附属口腔医院 [3]辽东学院医学院

出　　处：《中国医学创新》2016年第8期38-42,共5页Medical Innovation of China

摘　　要：目的:探讨导致大范围下唇缺损的唇癌的合理术式。方法:选择2003年3月-2013年3月本科收治的40例下唇癌患者作为研究对象,根据选择的修复方式的不同分为两组(Ⅰ、Ⅱ组),再根据选择的颈清扫术式分为两组(A、B组),比较各组术后情况。结果:Ⅰ、Ⅱ组术后口裂缩小及皮瓣坏死情况比较差异均无统计学意义(P>0.05)。A组淋巴结复发率高于B组,比较差异有统计学意义(P<0.05);A、B组术后总引流量、术后1 d引流量、撤引流时间及拆线时间比较差异均无统计学意义(P>0.05)。结论:改进修复下唇缺损的术式可避免二次手术创伤,肩胛舌骨上颈淋巴清扫能够更加确保肿瘤的根治,两者联合是目前最合理的术式。Objective： To find out the reasonable operation method of lip carcinoma leading to the large scale defect of the lower lip.Method： 40 cases of lower lip carcinoma patients who were in our department from March 2003 to March 2013 were selected as the research objects.They were divided into two groups （ group I and group Ⅱ ） according to the repair method and then were divided into two groups （ group A and group B ） according to the neck dissection method.The postoperative situation of different groups were compared.Result： The differences in the reduction of the mouth crack and the necrosis of the flap between group I and group Ⅱ were not statistically significant （ P〉0.05 ） .The lymph node recurrence rate of group A was higher than that of group B, the difference was statistically significant （ P〈0.05 ） .The differences in the total drainage amount of the post operation, the drainage amount of one day after the operation, the time of withdrawing drainage and the time of taking out stitches between group A and group B were not statistically significant （ P〉0.05 ） .Conclusion： The modified operation method of repairing the lower lip defect can avoid the second surgical trauma.The supraomohyoid neck dissection method can more ensure the radical cure of tumors.The combination of the two methods is the most reasonable ooeration method.

关 键 词：下唇癌 缺损 修复重建 颈清扫 术式 

分 类 号：R739.85[医药卫生—肿瘤]