保持下颌骨连续性的舌癌、口底癌联合根治术临床评价

Evaluation of combined radical operation for carcinoma of tongue and carcinoma of floor of mouth in keeping mandibular continuation

目的：探讨舌癌、口底癌较为理想的手术方法及其适应症，提高患者术后生存质量。方法：应用保留下颌骨下缘或下外侧骨板以维持下颌骨连续性的舌癌口底癌联合根治术治疗舌癌、口底癌４７例。结果：术后患者颌面部畸形轻微，较好地保持了口腔功能。３年、５年生存率分别为７７．７２％±４．８０％和６６．６２％±９．２８％。结论：此手术是一种有效且术后生存质量较好的根治性手术，值得临床推广应用。

Purpose: To investigate an ideal operation and its indication for carcinoma of tongue and carcinoma of floor of mouth and to increase the life quality of the survival patients. Method: Combined radical operation for 47 cases of carcinoma of tongue and carcinoma of floor of mouth in preserving the lower edge or lower-lateral osseous lamella of mandibula to maintain the continuation of mandibula. Results: The malformation of patient's face was mild after operation, preserving a better oral function. The 3 to 5 year survival rates of the patients were 77.72%±4.80% and 66.62%±9.28%, respectively. Conclusion: The radical operation introduced in this paper is an effective operation for carcinoma of tongue and the carcinoma of floor of mouth and it provides a good life quality for the survival patients after operation, this operation is worthy to be spreaded out.