重庆医学
重慶醫學
중경의학
CHONGQING MEDICAL JOURNAL
2015年
2期
215-217
,共3页
舌肿瘤%下颌骨%牙?%生存质量
舌腫瘤%下頜骨%牙?%生存質量
설종류%하합골%아?%생존질량
tongue neoplasms%mandible%dental occlusion%dentition%quality of life
目的：评价保留下颌骨及牙列的舌癌根治术对舌癌患者预后的影响。方法抽取2009年1月至2011年1月第三军医大学新桥医院口腔科舌癌手术患者64例。失访7例，纳入研究对象57例。回顾性病例对照研究保留下颌骨及牙列的舌癌根治术（保留下颌骨及牙列组，n＝30）与下颌骨矩形切除的舌癌根治术患者（下颌骨矩形切除组，n＝27）的临床资料：患者的生存率、复发率及术后生存质量，采用华盛顿大学生存质量量表第4版（UW‐QOL）进行问卷调查。结果保留下颌骨及牙列的舌癌根治术患者与下颌骨矩形切除的舌癌根治术患者在生存率上差异无统计学意义（P＞0．05）；2种不同颌骨处理的术式与舌癌的复发率无关（P＞0．05）；保留下颌骨及牙列的舌癌根治术患者术后生存质量明显高于下颌骨矩形切除组（P＜0．05）。结论在严格的手术适应证选择下，保留下颌骨及牙列的舌癌根治术既可以达到良好的手术治疗效果，又能明显的提高患者术后生存质量。
目的：評價保留下頜骨及牙列的舌癌根治術對舌癌患者預後的影響。方法抽取2009年1月至2011年1月第三軍醫大學新橋醫院口腔科舌癌手術患者64例。失訪7例，納入研究對象57例。迴顧性病例對照研究保留下頜骨及牙列的舌癌根治術（保留下頜骨及牙列組，n＝30）與下頜骨矩形切除的舌癌根治術患者（下頜骨矩形切除組，n＝27）的臨床資料：患者的生存率、複髮率及術後生存質量，採用華盛頓大學生存質量量錶第4版（UW‐QOL）進行問捲調查。結果保留下頜骨及牙列的舌癌根治術患者與下頜骨矩形切除的舌癌根治術患者在生存率上差異無統計學意義（P＞0．05）；2種不同頜骨處理的術式與舌癌的複髮率無關（P＞0．05）；保留下頜骨及牙列的舌癌根治術患者術後生存質量明顯高于下頜骨矩形切除組（P＜0．05）。結論在嚴格的手術適應證選擇下，保留下頜骨及牙列的舌癌根治術既可以達到良好的手術治療效果，又能明顯的提高患者術後生存質量。
목적：평개보류하합골급아렬적설암근치술대설암환자예후적영향。방법추취2009년1월지2011년1월제삼군의대학신교의원구강과설암수술환자64례。실방7례，납입연구대상57례。회고성병례대조연구보류하합골급아렬적설암근치술（보류하합골급아렬조，n＝30）여하합골구형절제적설암근치술환자（하합골구형절제조，n＝27）적림상자료：환자적생존솔、복발솔급술후생존질량，채용화성돈대학생존질량량표제4판（UW‐QOL）진행문권조사。결과보류하합골급아렬적설암근치술환자여하합골구형절제적설암근치술환자재생존솔상차이무통계학의의（P＞0．05）；2충불동합골처리적술식여설암적복발솔무관（P＞0．05）；보류하합골급아렬적설암근치술환자술후생존질량명현고우하합골구형절제조（P＜0．05）。결론재엄격적수술괄응증선택하，보류하합골급아렬적설암근치술기가이체도량호적수술치료효과，우능명현적제고환자술후생존질량。
Objective To evaluate the prognosis of tongue carcinoma surgery with preservation of the integrity of mandible and dentition .Methods Sixty four cases of tongue carcinoma surgery from January 2009 to January 2011 were randomly collected (sev‐en missed ,57 enrolled) .Through retrospective case‐control study on retention of mandibular dentition and mandible rectangle radi‐cal operation of tongue carcinoma radical operation of tongue cancer resection were analyzed the clinical data including the survival rate ,reoccurrence rate and post‐operation life quality .The questionnaire was conducted by fourth edition of UW‐QOL .Results There were no significant difference in survival rates of the two groups of patients between retaining the mandible and dentition and resection of mandible rectangle (P>0 .05) .Two different types of surgical procedures for treatment of jaw had no correlation with the reoccurrence rate (P>0 .05) .The quality of life in retaining the mandible and dentition was significantly higher than the rectan‐gular groups (P<0 .05) .Conclusion Under a strict choice of surgical indications ,preserving radical operation of tongue carcinoma of the mandible and dentition could achieve good results of surgical treatment ,and can significantly improve patients′quality of life after operation .
