舌癌的手术治疗  

Treatment of tongue squamous cell carcinoma by surgery

作　　者：陈杰[1] 田勇泉[1] 李赞[2] 瞿吉保[2] 张海清[2] 

机构地区：[1]中南大学湘雅医院耳鼻咽喉科,湖南长沙410008 [2]湖南省肿瘤医院耳鼻咽喉头颈外科,湖南长沙410006

出　　处：《中国耳鼻咽喉颅底外科杂志》2002年第3期171-173,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的　回顾性分析 12 4例舌体鳞癌不同术式的疗效。方法　全组按 1987年UICC的TNM分期 ,Ⅰ～Ⅱ期 2 2例 ,Ⅲ期 30例 ,Ⅳ期 72例。评价舌颌颈联合根治术加下颌骨部分切除或下颌骨槽型切除、舌颌颈联合根治术加肌皮瓣修复舌缺损术及选择性或根治性颈廓清的疗效。结果　全组 5年生存率 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 39.6 4%、38.5 8%。结论　保留下颌骨连续性的下颌骨槽型切除不会降低病人生存率 ;对临床N0 的舌癌病人可行选择性颈廓清 ;定期复查和及时发现复发病灶 。Objective To evaluate the results of various surgical approaches for 124 cases of tongue cancer. Methods The cases of stage Ⅰ～Ⅱ, stage Ⅲ, stage Ⅳ were 22, 30, 72 respectively according to UICC 1987 TNM stages. They were reviewed to evaluate the effects of partial glossectomy with or without mandible-sparing, the reconstruction with the pedicled musculocutaneous flaps for the defects of tongue, and selective or radical neck dissection for the patients. Results The 5 year survival rate was 39.75%. The 5-year survival rate of patients who underwent partial glossectomy with mandible-sparing was 39.64%, while the 5-year surival rate of patients who underwent glossectomy with partial-mandible was 38.58%. Conclusion It doesn't reduce the survival rate for tongue cancer patients underwent partial glossectomy with mandible-sparing; selective neck dissection could be proposed for patients of clinical N 0 neck; checking-up in fixed periods for patients can find the relapse of cancer earlier, and cutting the cancer again can improve the survival rate..

关 键 词：手术治疗 舌肿瘤 鳞癌 术式 

分 类 号：R739.86[医药卫生—肿瘤]