摘要
目的探讨保留部分下颌骨改良舌癌联合根治术治疗中、晚期舌癌的可行性。方法对采用本术式治疗的24例中、晚期舌癌行回顾性分析。结果术后经3～14年随诊，全部病例均能进普食，对面容影响较小。3、5年生存率分别为54.1％、43．8％，与行常规舌癌联合根治术者比较，经统计学处理生存率无明显差异（P＞0.05）。结论保留部分下颌骨，以维持下颌骨的连续性．可提高患者术后生存质量，对中、晚期舌癌是一种可行性的根治性手术治疗方法。
objective To investigate the possibility of retaining partial mandible in the surgical management for the advanced tongue carcinoma. Methods The clinical material of 24 cases receiving modified combined radical operation retaining partial mandible was analyzed retrospectively. Results All of the cases could have a common diet and cosmetic deformity was slight after operation. The survival rate of 3, 5 years was 54. 1%, 43. 8% respectively. The overal five-year survival rate was comparable with that of the cases receiving combined radical operation cutting off the mandible in the same time (P>0. 05). Concluslou The modified combined radical operation retaining partial of mandible should be done if there are the indications for patients with advanced tongue carcinoma.
出处
《中国综合临床》
2000年第3期217-218,共2页
Clinical Medicine of China
关键词
舌癌
改良联合根治术
外科手术
Advanced tongue carcinoma, Modified combined radical operation
