改良和传统肩胛舌骨上颈淋巴结清扫术对口腔鳞癌患者疗效及预后的影响

目的分析改良和传统肩胛舌骨上颈淋巴结清扫术对口腔鳞癌(OSCC)患者的临床疗效和预后情况。方法选取80例确诊为口腔鳞癌患者为研究对象,采用随机数字表法将所有患者随机分为对照组与试验组,每组40例,试验组给予改良的肩胛舌骨上颈淋巴结清扫术治疗,对照组采用传统的根治性颈淋巴结清扫术,比较两组患者手术时间、术中出血量、肩功能恢复情况以及生活质量改善程度等指标,分析两种治疗方法的临床疗效。结果试验组的手术时间、术中出血量与对照组相比差异无统计学意义,P>0.05;治疗6个月后,两组患者肩部疼痛均较治疗前有所缓解,肩功能改善情况及生活质量情况优于治疗前且试验组优于治疗组,差异有统计学意义,P<0.05;半年内的生存率和复发率,试验组患者生存率为97.5%,显著高于对照组P<0.05,对照组复发率明显高于试验组P<0.05;比较术后并发症的结果发现试验组并发症的发生率明显低于对照组,P>0.05。结论改良型较传统肩胛舌骨上颈淋巴清扫术提升患者肩功能恢复情况以及生活质量情况,增加治疗有效率,减少并发症的发生,为临床治疗口腔鳞癌提供了依据,值得推广。

Efficacy and Prognosis of the Modified and Traditional Supratrohyoid Cervical Lymph Node Dissection on the Oral Squamous Cell Carcinoma

Objective To analyze the clinical efficacy and prognosis of modified and traditional suprahyoid neck lymph node dissection for patients with oral squamous cell carcinoma(OSCC).Methods Eighty patients diagnosed with oral squamous cell carcinoma as research objects,and all the patients were randomly divided into the control group and the experimental group by using the random number table method,40 cases in each group.The experimental group was treated with modified suprahyoid neck lymph node dissection,while the control group used traditional radical cervical lymph node dissection,and the operative time,intraoperative blood loss,recovery of shoulder function and improvement of quality of life were compared between the two groups.Results There were no statistically significant differences between the experimental group and the control group in operation time and intraoperative blood loss(P>0.05);After 6 months of treatment,shoulder function of patients in both groups was significantly better than that before treatment,and the experimental group was superior to the treatment group(P<0.05).The survival rate and recurrence rate within six months in the treatment group were 97.5%,significantly higher than those of the control group(P<0.05),and the recurrence rate in the control group was significantly higher than that of the experimental group(P<0.05).Comparison of postoperative complications showed that the incidence of complications in the experimental group was significantly lower than that in the control group(P<0.05).Conclusion Compared with traditional scapula hyoid neck lymphatic dissection,the improved type improves shoulder function recovery and quality of life in patients,increases treatment efficiency,and reduces complications.It provides a basis for clinical treatment of oral squamous cell carcinoma and is worthy of promotion.