中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
28期
189-190
,共2页
早期舌癌%复发原因%相应预防措施
早期舌癌%複髮原因%相應預防措施
조기설암%복발원인%상응예방조시
Early-stage tongue cancer%Recurrent reason%Corresponding preventive measure
目的：探析早期舌癌的复发原因及相应预防措施。方法回顾性分析本院2000年5月~2009年5月收治的160例舌癌患者的临床资料。结果≥45岁患者的复发率显著高于<44岁的患者，有抽烟和喝酒等不良嗜好患者的复发率显著高于没有此嗜好的患者，临床Ⅱ分期患者的复发率显著高于Ⅰ分期的患者，中低癌细胞分化程度患者的复发率显著高于高分化程度的患者，未进行综合治疗患者的复发率显著高于进行综合治疗的患者，未进行颈清患者的复发率显著高于进行颈清患者(P<0.05)；患者的性别对术后复发率的影响差异无统计学意义(P>0.05)。结论是否行颈清扫、是否有抽烟或喝酒等不良嗜好、是否综合治疗、临床分期和癌细胞分化程度是影响早期舌癌复发的因素。
目的：探析早期舌癌的複髮原因及相應預防措施。方法迴顧性分析本院2000年5月~2009年5月收治的160例舌癌患者的臨床資料。結果≥45歲患者的複髮率顯著高于<44歲的患者，有抽煙和喝酒等不良嗜好患者的複髮率顯著高于沒有此嗜好的患者，臨床Ⅱ分期患者的複髮率顯著高于Ⅰ分期的患者，中低癌細胞分化程度患者的複髮率顯著高于高分化程度的患者，未進行綜閤治療患者的複髮率顯著高于進行綜閤治療的患者，未進行頸清患者的複髮率顯著高于進行頸清患者(P<0.05)；患者的性彆對術後複髮率的影響差異無統計學意義(P>0.05)。結論是否行頸清掃、是否有抽煙或喝酒等不良嗜好、是否綜閤治療、臨床分期和癌細胞分化程度是影響早期舌癌複髮的因素。
목적：탐석조기설암적복발원인급상응예방조시。방법회고성분석본원2000년5월~2009년5월수치적160례설암환자적림상자료。결과≥45세환자적복발솔현저고우<44세적환자，유추연화갈주등불량기호환자적복발솔현저고우몰유차기호적환자，림상Ⅱ분기환자적복발솔현저고우Ⅰ분기적환자，중저암세포분화정도환자적복발솔현저고우고분화정도적환자，미진행종합치료환자적복발솔현저고우진행종합치료적환자，미진행경청환자적복발솔현저고우진행경청환자(P<0.05)；환자적성별대술후복발솔적영향차이무통계학의의(P>0.05)。결론시부행경청소、시부유추연혹갈주등불량기호、시부종합치료、림상분기화암세포분화정도시영향조기설암복발적인소。
Objective To explore the recurrent reasons and their corresponding preventive measures of early-stage tongue cancer. Methods Clinical data of 160 patients with early-stage tongue cancer collected by our hospital from May 2000 to May 2009 was retrospectively analyzed. Results Recurrence rate of patients aged ≥45 years old was ob-viously higher than that of patients aged <44 years old,recurrence rate in patient who smoked or drank alcohol was greatly higher than that in patient without these bad habits,recurrence rate in clinical stage IIwas higher than that in stage Ⅰ,recurrence rate in patients with low and medium cancer cell differentiations was higher than that in patients with high cell differentiation, recurrence rate in patients who didn’t accept comprehensive therapy was higher than that in patients who accepted the therapy,recurrence rate in patients who didn’t undergo neck dissection was higher than that in patients who did (P<0.05). There was no statistical difference of influence of gender on recurrence rate after op-eration (P>0.05). Conclusion Whether or not neck dissection applied,whether or not having bad habits like smoking or drinking alcohol,whether or not comprehensive therapy adopted,clinical stage,and differentiated degree of cancer cell are factors influencing on recurrence of early-stage tongue cancer.
