舌癌多种治疗方式的临床疗效比较  

The comparison of the clinical curative effect of various treatments for tongue carcinoma

作　　者：孙小雅 严汉兴 贺莎[2] 艾小红[1] 左建宏[1,2,3] SUN Xiaoya;Yan hanxin;He sha;AI Xiaohong;ZUO Jianhong(Department of Rradiotherapy,the First Affiliated Hospital of University of South China,Hengyang 421001Hunan,China)

机构地区：[1]南华大学附属第一医院放疗科,衡阳421001 [2]南华大学附属南华医院消化内科 [3]南华大学医学院转化医学研究室,衡阳421001

出　　处：《中南医学科学杂志》2018年第1期16-19,共4页Medical Science Journal of Central South China

基　　金：国家自然科学基金(81272960);湖南省科技厅重点项目资助(2013WK2010,2014SK2015和2017SK2082);人社部重点项目[2016]176号;衡阳市“科技创新创业人才团队”(衡人才发[2017]1号)

摘　　要：通过分析2007年1月至2012年1月的84例舌癌患者的临床资料比较不同治疗方式对于舌癌预后的影响。依据治疗方式将患者分为4组:手术组、放疗组、手术联合放疗组、放疗联合化疗组,总结其临床特征及预后情况。分析得出手术组、放疗组、手术联合放疗组、放疗联合化疗组的Ⅰ-Ⅱ期患者5年生存率分别为:69.5%、62.3%、66.9%、61.7%,Ⅲ~Ⅳ期患者5年生存率分别为:48.3%、23.4%、49.8%、36.1%。因此舌癌治疗手段以手术为主,晚期舌癌以手术联合放疗优于手术组、放疗组、放疗联合化疗组。By analyzing the clinical data of 84 cases of tongue squamous cell carcinoma from Janurary 2007 to Janurary 2012,the effects of different treatment methods on the prognosis of tongue cancer were compared.The patients were divided into 4 groups according to the way of treatment:surgery group,irradiation group,surgery and irradiation group,chemotherapy and irradiation group.The clinical characteristics and prognosis were summarized.The 5 year accumulate survival rates of stageⅠⅡin surgery group,irradiation group,surgery and irradiation group,chemotherapy and irradiation group were 69.5%,62.3%,66.9%,61.7%,respectively.For stageⅢ～Ⅳ,the 5 year accumulate survival rates were 48.3%,23.4%,49.8%,36.1%,respectively.The main treatment of tongue squamous cell carcinoma is surgery,and surgery combined radiotherapy is better than irradiation,chemotherapy and irradiation.

关 键 词：舌鳞状细胞癌 手术联合放疗 预后 

分 类 号：R739.86[医药卫生—肿瘤]