老年舌癌颈部淋巴结清扫术的临床疗效观察  

Clinical Efficacy of Neck Lymph Node Dissection for Elderly Patients with Tongue Cancer

作　　者：翁海勇[1] 郑根建[1] 何龙[1] 云蔓[1] 王琼超[1] 李鹏程[1] 唐乃高[1] 肖旭[1] 

机构地区：[1]海南医学院附属医院,570100

出　　处：《实用癌症杂志》2015年第6期938-940,共3页The Practical Journal of Cancer

摘　　要：目的比较与分析舌骨上颈淋巴结清扫术与肩胛舌骨上颈淋巴结清扫术治疗老年舌癌患者的临床疗效。方法 74例老年舌癌患者按照手术方式不同分组为对照组与观察组,各37例。对照组采用舌骨上颈淋巴结清扫术治疗;观察组采用肩胛舌骨上颈淋巴结清扫术治疗。观察比较2组阴性和阳性患者复发率及转阴率、生存质量。结果观察组转阴率为86.49%(32/37),明显高于对照组64.86%(24/37)(P<0.05)。观察组转阴者和阳性者复发率分别为6.25%(2/32)、20.00%(1/5),与对照组8.33%(2/24)、37.50%(3/8)比较(前者P>0.05)(后者P<0.05)。2组患者KPS改善率比较P<0.05。结论采用肩胛舌骨上颈部淋巴结清扫术治疗老年舌癌复发率较低,疗效更好及安全性更高,值得推广应用。Objective To compare the clinical efficacy of suprahyoid neck dissection and supraomohyoid neck dissection for elderly patients with tongue cancer. Methods 74 cases of elderly patients with tongue cancer were divided into the control group and the observation group according to different surgical methods,each with 37 cases. The control group received suprahyoid neck dissection; the observation group received supraomohyoid neck dissection. Relapse rates of negative and positive patients,negative conversion rates and quality of life of the 2 groups were compared. Results Negative observation rate in the observation group was 86. 49%( 32 /37),which was significantly higher than that of the control group 64. 86%( 24 /37)( P < 0. 05). Relapse rates of negative and positive patients in the observation group were 6. 25%( 2 /32),20. 00%( 1 /5),and those of the control group were 8. 33%( 2 /24),37. 50%( 3 /8)( former P > 0. 05)( the latter P < 0. 05). KPS improvement rate of 2 groups had significant difference,( P < 0. 05). Conclusion Supraomohyoid neck dissection for elderly patients with tongue cancer has lower relapse rate,higher efficacy and better safety,it should be widely applied.

关 键 词：肩胛舌骨上颈淋巴清扫术 舌骨上颈淋巴清扫术 老年舌癌 

分 类 号：R739.86[医药卫生—肿瘤]