中华口腔医学杂志
中華口腔醫學雜誌
중화구강의학잡지
Chinese Journal of Stomatology
2015年
6期
366-368
,共3页
舌肿瘤%癌,鳞状细胞%颈淋巴结清扫术
舌腫瘤%癌,鱗狀細胞%頸淋巴結清掃術
설종류%암,린상세포%경림파결청소술
Tongue neoplasms%Carcinoma,squamous cell%Neck dissection
目的 探讨舌鳞状细胞癌患侧颈部淋巴结Level Ⅳ转移的风险因素.方法 收集北京大学口腔医学院·口腔医院口腔颌面外科2000年1月至2011年12月舌鳞状细胞癌同期行颈淋巴结清扫术及原发灶手术治疗的患者248例(255侧),分别应用卡方检验及Logistic回归分析Level Ⅳ转移的影响因素,分析变量包括年龄、性别、生长方式、T分期、病理分级、Level Ⅲ转移、Level Ⅰ～Ⅲ的转移阳性淋巴结分区个数、Level Ⅰ～Ⅲ的转移淋巴结个数.结果 颈淋巴结转移患者147例(152侧),LevelⅣ转移21侧(21/255,8.2％),LevelⅣ跳跃性转移2侧(2/255,0.8％).卡方检验结果表明,年龄(P=0.020)、Level Ⅲ发生转移(P=0.000)、Level Ⅰ～Ⅲ的转移阳性淋巴结分区个数(≥2)(P=0.006)、Level Ⅰ～Ⅲ的转移淋巴结个数(≥3)(P=0.000)是独立的风险因素;Logistic回归分析显示,只有LevelⅢ发生转移(P=0.003)为Level Ⅳ转移的风险因素.结论 Level Ⅲ发生转移的舌癌患者的LevelⅣ转移风险增加.
目的 探討舌鱗狀細胞癌患側頸部淋巴結Level Ⅳ轉移的風險因素.方法 收集北京大學口腔醫學院·口腔醫院口腔頜麵外科2000年1月至2011年12月舌鱗狀細胞癌同期行頸淋巴結清掃術及原髮竈手術治療的患者248例(255側),分彆應用卡方檢驗及Logistic迴歸分析Level Ⅳ轉移的影響因素,分析變量包括年齡、性彆、生長方式、T分期、病理分級、Level Ⅲ轉移、Level Ⅰ～Ⅲ的轉移暘性淋巴結分區箇數、Level Ⅰ～Ⅲ的轉移淋巴結箇數.結果 頸淋巴結轉移患者147例(152側),LevelⅣ轉移21側(21/255,8.2％),LevelⅣ跳躍性轉移2側(2/255,0.8％).卡方檢驗結果錶明,年齡(P=0.020)、Level Ⅲ髮生轉移(P=0.000)、Level Ⅰ～Ⅲ的轉移暘性淋巴結分區箇數(≥2)(P=0.006)、Level Ⅰ～Ⅲ的轉移淋巴結箇數(≥3)(P=0.000)是獨立的風險因素;Logistic迴歸分析顯示,隻有LevelⅢ髮生轉移(P=0.003)為Level Ⅳ轉移的風險因素.結論 Level Ⅲ髮生轉移的舌癌患者的LevelⅣ轉移風險增加.
목적 탐토설린상세포암환측경부림파결Level Ⅳ전이적풍험인소.방법 수집북경대학구강의학원·구강의원구강합면외과2000년1월지2011년12월설린상세포암동기행경림파결청소술급원발조수술치료적환자248례(255측),분별응용잡방검험급Logistic회귀분석Level Ⅳ전이적영향인소,분석변량포괄년령、성별、생장방식、T분기、병리분급、Level Ⅲ전이、Level Ⅰ～Ⅲ적전이양성림파결분구개수、Level Ⅰ～Ⅲ적전이림파결개수.결과 경림파결전이환자147례(152측),LevelⅣ전이21측(21/255,8.2％),LevelⅣ도약성전이2측(2/255,0.8％).잡방검험결과표명,년령(P=0.020)、Level Ⅲ발생전이(P=0.000)、Level Ⅰ～Ⅲ적전이양성림파결분구개수(≥2)(P=0.006)、Level Ⅰ～Ⅲ적전이림파결개수(≥3)(P=0.000)시독립적풍험인소;Logistic회귀분석현시,지유LevelⅢ발생전이(P=0.003)위Level Ⅳ전이적풍험인소.결론 Level Ⅲ발생전이적설암환자적LevelⅣ전이풍험증가.
Objective To investigate the risk factor for metastasis in Level Ⅳ of ipsilateral neck in tongue cancer patients.Methods A total of 248 tongue caner paitents(255 necks) that underwent radical neck dissection was enrolled in the study.Chi-square test and Logistic regression analysis were used to determine the factors associated with metastasis in Level Ⅳ.The variable included age,sex,growth type,T stage,histopathological grade,Level Ⅲ involvement,number of positive lymph nodes in Levels Ⅰ-Ⅲ.Results Out of 147 cases(152 necks)with positive lymph node,21 necks(8.2％,21/255) had Level Ⅲ involvement,and 2 necks(0.8％,2/255) developed skip metastasis.Chi-square test showed that age(P=0.020),Level Ⅲ involvement(P=0.000),number of positive Level(≥2 Levels) in Levels Ⅰ-Ⅲ (P=0.006),and number of positive lymph node(≥3 nodes)in Levels Ⅰ-Ⅲ (P=0.000)were identified as independent risk factor.Logistic regression analysis revealed that only Level Ⅲ involvement(P=0.003) was the risk factor for metastasis in Level Ⅳ.Conclusions In tongue cancer patients,Level Ⅲ[involvement was a high risk factor for metastasis in Level Ⅳ.
