论文部分内容阅读
舌癌是头颈部常见恶性肿瘤之一，舌活动部癌占口腔癌首位。该材料选取我院１９７０～１９９０年间收治的舌活动部鳞癌２２６例，总体５年生存率５８．０％，手术为主的综合治疗５年生存率６９．０％，分析及评价其治疗效果，讨论了综合治疗、舌和下颌骨的功能保留及选择性颈清扫等问题，结论认为，综合治疗是舌癌治疗的基本方针，术前插管化疗，配合术前插植或术后外照射放疗，某些早期病例舌病灶局部“Ｖ”形切除可获治愈；部份晚期病人，相对保守的下颌骨槽形切除，不降低生存率的同时，能改善患者的生存质量。
Tongue cancer is one of the common malignant tumors of the head and neck. The tongue activity area accounts for the first place of oral cancer. The material selected from our hospital from 1970 to 1990 treated tongue activity of squamous cell carcinoma in 226 cases, the overall 5-year survival rate was 58.0%, 5-year overall survival rate of surgery was 69.0%, analysis and evaluation of the treatment effect , Discussed the comprehensive treatment, tongue and mandibular function retention and selective neck dissection and other issues, concluded that the comprehensive treatment of tongue cancer is the basic guideline of preoperative catheterization chemotherapy, with preoperative implantation or postoperative external beam irradiation Radiotherapy, some early cases of tongue lesions local “V” resection can be cured; some advanced patients, relatively conservative mandibular groove resection, does not reduce the survival rate at the same time, can improve the quality of life of patients.