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目的分析探讨舌癌的临床治疗方法及影响预后的因素。方法回顾性分析2009年1月至2009年12月期间在我院治疗的50例舌癌患者的临床资料,并进行统计分析。结果 50例舌癌患者中,27例接受单纯手术治疗,19例接受综合治疗,2例接受单纯放疗,2例接受放疗+化疗。临床分期高者其术后生存率较低;舌体癌患者的生存率明显高于舌根癌;存在淋巴结转移者的预后较未转移者差;综合治疗患者2年生存率最高(P<0.05)。结论无论患者是否存在颈部淋巴结的转移,舌癌手术都应行颈部淋巴结清扫术;早期发现和治疗舌癌对提高舌癌患者的生存率有显著的意义。
Objective To analyze the clinical treatment of tongue cancer and prognostic factors. Methods The clinical data of 50 patients with tongue cancer treated in our hospital from January 2009 to December 2009 were retrospectively analyzed and statistically analyzed. Results Of the 50 patients with tongue cancer, 27 were treated with surgery alone, 19 were treated with combination therapy, 2 received radiotherapy alone and 2 received radiotherapy and chemotherapy. The survival rate of tongue cancer patients was significantly higher than that of tongue base cancer patients. The prognosis of patients with lymph node metastasis was worse than that of those without metastasis. The 2-year survival rate of patients with combined therapy was the highest (P <0.05) . Conclusions Cervical lymph node dissection should be performed in tongue cancer patients regardless of whether there is metastasis to the cervical lymph nodes. Early detection and treatment of tongue cancer have a significant effect on improving the survival rate of patients with tongue cancer.