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目的:探讨联合根治及修复重建手术治疗口腔癌的临床效果。方法:2004-01/2008-06间对43例口腔癌行联合根治手术,34例应用各种皮瓣即刻重建修复,4例后期赝复体修复。结果:随访6个月~4 a,39例术后无复发或转移,术后形态和功能恢复良好;2例术后复发死亡;1例术后全身骨转移死亡;1例术后因其他疾病死亡。结论:联合根治及修复重建手术提高了口腔癌的治疗效果及患者的生存质量。
Objective: To investigate the clinical effect of combined radical and reconstructive surgery in the treatment of oral cancer. Methods: Forty - three patients with oral cancer underwent radical resection between January 2004 and June 2008, 34 cases were repaired with various kinds of flaps immediately and 4 cases were repaired with prostheses. Results: All cases were followed up for 6 months to 4 years. No recurrence or metastasis was found in 39 cases after operation. Morphology and function recovered well after surgery. Two patients died of recurrence after operation. One patient died of postoperative bone metastasis. One patient suffered from postoperative morbidity due to other diseases death. Conclusion: Radiotherapy combined with radical resection and reconstruction can improve the therapeutic effect of oral cancer and the quality of life of patients.