保留下颌骨水平枝舌癌联合根治术60例分析

ANALYSIS OF 60 CASES UNDERGONE TONGUE CARCINOMA COMBINED RADICAL OPERATION PERSERVING MANDIBLE

作者报告了该院1964～1983年间60例保留下颌骨舌癌联合根治术。其中男35例,女25例。男女之比为1.4:1。以50～59岁为最多见。鳞癌占88.3％,白斑癌变占11.7％。肿瘤分期Ⅰ、Ⅱ期病例占91.3％。本组随访率达100％。总病例的5年生存率为73.3％。本文着重论述了保留下颌骨舌癌联合根治术的可行性。认为只要严格掌握好手术适应征,此手术可在临床上推广。本文还对此手术的适应征进行了探讨。

Sixty patients with tongue carcinoma were treated by combined radical operation preserving mandible in owr hospital from 1964 to 1983. Among them, 35 were m male and 25 female with the sex ratio of 1.4: 1.53 (88.3%) cases were squamous cell carcinoma. There were seven cases with aggravated leukoplakia. 91.3% cases of them were stage Ⅰ and Ⅱ. They have been followed-up after operation. The overall five year survival rates were 73.3%.The paper discussed mainly the possibility of preserving mandible in the surgical mana-genment of the tonge cancer. The anuthors suggested some indications for the operation and recommended that the operation should be done if there are the indications for Patients with tongue carcinoma.