| 舌根癌的手术治疗 |
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| 引用本文： | 陆地红,杨克林,后军,吴开乐,童步升,沙群,潘涛. 舌根癌的手术治疗[J]. 临床耳鼻咽喉头颈外科杂志, 2003, 17(12): 716-717 |
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| 作者姓名： | 陆地红 杨克林 后军 吴开乐 童步升 沙群 潘涛 |
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| 作者单位： | 1. 安徽医科大学附属医院耳鼻咽喉科,合肥,230022
2. 安徽医科大学附属医院口腔科,合肥,230022 |
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| 摘 要： | 目的：探讨舌根癌的手术治疗方法。方法：舌根癌患者21例，经舌骨咽切开进路11例，下颌骨部分切除进路7例，下唇、下颌骨、舌正中切开进路3例。结果：3例下唇、下颌骨、舌正中切开者出现语言功能障碍，吞咽困难；余18例口腔功能均正常。随访2～5年，失访2例，2年生存18例，3年生存13例，5年生存5例。结论：经舌骨咽切开进路对吞咽功能及语言功能的影响较小，是一种值得推广的术式。
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| 关 键 词： | 舌肿瘤 外科手术 颈淋巴结清扫术 |
| 文章编号： | 1001-1781(2003)12-0716-02 |
| 修稿时间： | 2003-05-27 |
The surgical treatment of cancer in the base of tongue |
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| LU Dihong YANG Kelin HOU Jun WU Kaile TONG Busheng SHA Qun PAN Tao. The surgical treatment of cancer in the base of tongue[J]. Journal of clinical otorhinolaryngology, head, and neck surgery, 2003, 17(12): 716-717 |
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| Authors: | LU Dihong YANG Kelin HOU Jun WU Kaile TONG Busheng SHA Qun PAN Tao |
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| Affiliation: | Department of Otolaryngology, Affiliated Hospital of Anhui Medical University, Hefei 230022. |
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| Abstract: | OBJECTIVE: To seek for a better approach for the resection of carcinoma of the base of tongue. METHOD: From 1991 to 2000, all 21 cases of tongue base carcinoma had been removed by transhyoid pharyngotomy(11 cases), mandibulectomy(7 cases) and step-liked mandibulotomy (3 cases). RESULT: Three patients with step-liked mandibulotomy had speech disorder and dysphagy. The rest had satisfactory speech and swallowing functions. During followed-up of 2-5 years, 2 cases lost follow-up, 18 cases were alive at 2 years, 13 cases were alive at 3 years, 5 cases 5 years. CONCLUSION: Transhyoid pharyngotomy provides good exposure to resect those tumors that involve the base of tongue, epiglottis, hypopharynx and larynx. |
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| Keywords: | Tongue neoplasms Surgery operative Radical neck dissection |
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