摘要
目的:为了掌握舌癌的临床特征及治疗原则,评价其疗效。方法:对 1975~1998年收治的 296例舌癌临床资料进行回顾性分析。结果:舌癌的男女发病之比为1.64:1,好发年龄组为40-59岁,占67.15%;好发部位为舌侧缘,占51.35%,临床生长以溃疡型多见,中晚期患者占总数的59.46%。术前诱导化疗有效率为70.5%。以手术为主的三联治疗法,5年生存率达76.78%。在保证肿瘤根治的条件下,功能性外科技术的应用,保持了患者较好的面容,使口腔功能得以恢复。结论:对舌癌应行手术为主的综合治疗。保存性及修复性、功能性外科技术的应用,提高了患者的生存率及生存质量。
Objective: To study the clinical features, treatment principles and therapeutic effect of carcinoma of tongue. Methods: Two hundred ninety - six cases of carcinoma of tongue treated from 1975 to 1998 were analysed retrospectively. Results: Of the overall patients there were 184 males and 112 females. The peak age of patients was 40-59 years (67. 15 % ), and it usually involved the lateral margin of the tongue. Ulceration was the common type. 59. 46% of the patients were in mediated advanced stage. The effective rate of induced chemotherapy before surgery was 70. 5 % and 5 - year survival rate 76. 38%. In application of functional surgical techniques, a cosmetological and well functional purposes could be achieved. Conclusion: In order to improve the survival rate and life quality of patients with carcinoma of tongue, aggressive and preservative surgery is necessary.
出处
《中国肿瘤临床》
CAS
CSCD
北大核心
2000年第11期827-828,共2页
Chinese Journal of Clinical Oncology