摘要
[目的]对口腔癌的下颌骨边缘切除的效果进行评价。[方法]对248例行下颌骨切除的口腔癌病人的临床资料进行了回顾性研究 ,其中82例行边缘性切除 ,166例行骨段切除 ,比较两组病人的复发率和生存率。[结果]边缘切除和骨段切除两组病人的局部复发率分别为15 6 %和16 3 % ,5年生存率分别为52 2 %和55 7 % ,无显著性差异。[结论]下颌骨边缘切除对于无明显破坏或仅有轻度下颌骨破坏的口腔癌是一种有效的下颌骨处理方法 ,既能取得良好的局部控制效果又能较好地保存病人的口腔功能。
To evaluate the effect of mandibular marginal resection for oral squamous cell carcinomaA retrospective study on 248 consecutive cases of oral squamous cell carcinoma was carried outAll cases were treated with mandibular resection,including 82 marginal resection and 166 segmental resectionA comparision on local recurrence rate and 5year survival rate was madeThe local recurrence rate for marginal and segmental group was 156% and 163% respectivelyFive years survival rates were 522% and 557% respectively[Conclusion]Marginal resection is an effective mandible management for oral squamous cell carcinomas with no or minimal mandible invasion
关键词
口腔肿瘤
鳞状细胞癌
下颌骨切除术
oral neoplasms
squamous cell carcinoma
mandibular resection
surgery
