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我科1989年7月对10例舌癌病人进行广泛切除后,应用带神经血管蒂斜方肌肌皮瓣立即行舌再造,获得成功和满意生理功能,现报道如下:临床资料本组10例舌癌患者中,男性7例,女性3例,年龄最小30岁,最大64岁,其中原发灶 T_4 4例,T_3 5例,T_2 1例。临床颌下颈部淋巴结肿大者5例,全部病例未发现远处转移,全部为初诊病人,经病理确诊为鳞状细胞癌。病人术前经化疗后2～3周,全麻下行舌、颌、颈联合根治术,全舌切除者2例,超过舌中线切除者8例。切除范围包括主要病灶侧和舌骨上肌群的口底组织,其中4例连同半侧下颌骨全切除,6例病变侧下颌骨作牙槽箱状切除,保持下颌骨下缘的连
Our department in July 1989 on 10 cases of tongue cancer patients after extensive excision, the application of neurovascular trapezius musculocutaneous flap immediate tongue reconstruction, success and satisfactory physiological function, are reported as follows: Clinical data of the group of 10 patients Among the patients with tongue cancer, there were 7 males and 3 females, the youngest was 30 years old and the oldest was 64 years old. There were 4 cases of T 4, 5 cases of T 3 and 1 case of T 2. Clinical submandibular neck lymph node enlargement in 5 cases, all cases did not find distant metastases, all newly diagnosed patients, pathologically diagnosed as squamous cell carcinoma. Patients preoperative chemotherapy after 2 to 3 weeks, under general anesthesia, tongue, jaw, neck radical mastectomy, total tongue resection in 2 cases, over the tongue midline excision in 8 cases. Excision range included the major lesion side and suprasternal muscle group mouth, 4 cases of which together with the half of the mandibular total resection, 6 cases of lateral mandibular alveolar resection, keeping the lower edge of the mandibular