摘要
目的总结舌根癌的手术方法及功能重建经验。方法回顾性分析1994年3月～2006年3月我院手术治疗的37例原发于舌根的鳞状细胞癌患者的临床资料。结果 37例患者均行颈淋巴结清扫术,病理报告颈淋巴结转移率达64.9%(24/37)。肿瘤切除的手术方式以咽侧径路为主,占59.5%(22/37),缺损修复主要采用胸骨舌骨肌肌筋膜瓣及胸大肌肌皮瓣修复。术后发生并发症共8例。患者术后经康复训练逐步恢复了饮食功能;除4例未拔除气管套管外,全部恢复了言语功能;3年、5年生存率分别为62.2%(23/37)、51.4%(19/37)。结论术前对肿瘤范围及颈淋巴结转移情况进行准确评估,以选择合适的手术入路及缺损修复方式,是彻底切除肿瘤、进行功能重建并提高生存质量的重要前提。
Objective To make a retrospective analysis on 37 cases of squamous cell carcinoma of the base of the tongue, and to explore the surgery operation of squamous cell carcinoma of the base of the tongue, the applied extent of different approaches and functional reconstruction. Methods From March 1994 to March 2006, a retrospective analysis was performed on 37 cases of tongue root carcinoma in Qilu Hospital of Shandong University. Results Neck dissection was performed on 37 cases with a metastasis rate of 64.9% （24/37）. 59.5 % （22/37）was operated by the latero-phar- ynx approach. The Stemohyoideus fascia muscularis flap and pectoralis major myocutaneous flap were used for function- al reconstruction. Post-operative complications occurred in 8 patients. All patients＇ swallow function was successfully recovered after post-operative training, and all patients＇ linguistic function was successfully recovered expect for 4 cases of trachea cannula. The 3-year and 5-year survival rate was 62.2% （ 23/37 ） and 51.4% （ 19/37 ） respectively. Conclu- sion Pre-operative examination and the exact assessment of the tumor extent is important, the exact surgical approa- ches and repair methods can be used to totally remove the tumor, successfully reconstruct the function, and efficiently improve the life quality.
出处
《山东大学耳鼻喉眼学报》
CAS
2011年第6期23-25,32,共4页
Journal of Otolaryngology and Ophthalmology of Shandong University
关键词
舌根
癌
鳞状细胞
外科手术
Base of tongue
Carcinoma, squamous cell
Surgical procedures, operative
