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舌癌切除术下颌骨旁正中截开入路的探讨 被引量:4

Resection for Carcinoma of Tongue through Operative Approach beside Center of Mandible
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摘要 目的:总结采用下颌骨旁正中截开入路实施舌癌切除术的临床疗效。方法:采用下颌骨旁正中截开入路对12例舌体癌患者行舌癌切除联合同侧颈淋巴结清扫术,根据术后下颌骨骨裂愈合情况、舌外形及功能、咬合关系等评价临床疗效。结果:12例舌体癌患者中11例下颌骨骨裂愈合良好,舌外形及咬合关系正常,吞咽及语言功能正常,随访1~3年无局部复发,仅1例术后半年出现肺转移。结论:下颌骨旁正中截开舌癌切除术临床疗效满意。 Objective: To evaluate the clinical effect of the resection for carcinoma of tongue through operative approach to split beside center of mandible. Methods: 12 cases of tongue cancer were undergone resection combined with neck dissection by adopted approach of splitting beside center of mandible. Data of healing process, deglutition and talk, shape of tongue and occluding relations were retrospectively analysed. Results: 11 cases attained perfect healing of mandible incision and occluding relation, with good tongue shape, sound deglutition and talk function. There was no local recurrence in 1-3years follow-up. Pulmonary metastasis was found in 1 case after operation half a year. Conclusion: It shows satisfied clinical effect of the resection for carcinoma of tongue through operative approach to split beside center of mandible.
作者 王军 马世红
出处 《口腔颌面外科杂志》 CAS 2007年第4期349-350,共2页 Journal of Oral and Maxillofacial Surgery
关键词 舌癌 切除术 下颌骨旁正中截开 手术入路 临床疗效 tongue cancer resection split beside center of mandible operative approach clinical effect
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参考文献3

  • 1Marchetta, Sako K, Murphy JB. The periosteum of the mandible and intraoral carcinoma [ J ] .Am J Surg, 1971,122 (6):711-713.
  • 2Dutton M. Metastatic cancer to the floor of mouth. The lingual lymph node[J].Head Neck,2002,24(4):401-403.
  • 3胡永杰,曲行舟,徐立群,李思毅,A.Hardianto,苏立新,张陈平.口底区域淋巴组织清扫术在舌癌根治术中的应用[J].中国口腔颌面外科杂志,2005,3(1):29-33. 被引量:25

二级参考文献5

  • 1[2]Dutton M. Metastatic cancer to the floor of mouth: The lingual lymph nodes[J].Head Neck, 2002,24(4) :401-403.
  • 2[3]Marchetta, Sako K, Murphy JB. The periosteum of the mandible and intraoral carcinoma[J].Am J Surg, 1971,122(6):711-713.
  • 3[4]Matsuura K, Hirokawa Y, Fujita M, et al. Treatment results of stage I and Ⅱ oral tongue cancer with interstitial brachytherapy:maximum tumor thickness is prognostic of nodal metastasis.[J] Iht J Radiat Oncol Biol Phys, 1998,40(3):535-539.
  • 4[5]Rouviere H. Anatomy of the human lymphatic system (translation by Tobies MJ)[M].Ann Arbor,MI:Edwards Brother,lnc.,1938.
  • 5[6]Leemans CR, Tiwari R, Nauta JJ, et al. Discontinous vs incontinuity neck dissection in carcinoma of the oral cavity[J].Arch Otolaryngol, 1991,117:1003-1006.

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