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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 explore the feasibility of preserving part of the mandible with improved tongue cancer combined with radical mastectomy in the treatment of middle and advanced stage tongue cancer. Methods 24 cases of advanced tongue cancer treated with this technique were retrospectively analyzed. Results After 3 to 14 years of follow-up, all cases were able to enter the general diet, less impact on the face. The 3-year and 5-year survival rates were 54.1% and 43.8% respectively. There was no significant difference in survival rate between the two groups (P> 0.05). Conclusions Some mandibles are reserved to maintain the continuity of the mandible. Can improve postoperative quality of life of patients with advanced tongue cancer is a viable radical surgical treatment.