原发于舌下腺恶性肿瘤的诊治经验

EMERGENCY TREATMENT FOR THE FRACTURE OF MAXILLOFACIAL BONE WITH MULTIPLE INJURES

自１９５９～１９９２年期间收治原发于舌下腺肿瘤共６３例，其中除８例为良性肿瘤外，余为恶性肿瘤。经治疗后５、１０、１５年直接法统计生存率分别为６７．５％、３８．２３％及２３．０％。影响预后的主要因素是局部复发和远处转移，尤其是肺转移。建议对原发于舌下腺恶性肿瘤术后除注意局部复发外，术后５年内应密切注意肺部检查。舌下腺肿瘤的发病率低于腮腺、颌下腺但恶性率却高达８７．３％，所以临床上对舌下腺肿瘤应有足够的重视。本文着重对舌下腺恶性肿瘤的治疗方法及影响疗效因素进行分析。

12 fractures ofjaw and facial bone with multiple injures were analyzed in this paper. We put forward to a newprocedure during saving the wounded,i.e. it must be 'the whole body first, the oral carity second' in fracture of jaw with damage of heart.brain,liver, lung or kidney.It may be 'Oral cavi ty and whole body simultaneously'in fractures of jaw with multiple lesions that not inf luence the physiological condition, it also may be 'the oral cavity first.the whole body second' when the lesions aremore serious in olal and maxillofacial rcgion than in other part of the body.Futhermore、we discussed the character of treatment for the fractures of inaxillofacial bone with multiple injures and emphasized that the heart and brain of multiple wounds must be monitored when reduction and fixation the outmoded fractures of jaw in order to avoid the accidents.