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舌癌复发有关因素的探讨

CORRELATINE FACTORS’UNIVARIATE ANALYSIS OF TONGUE CANCER RECURRENCE

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【作者】 杨宏宇李金荣胡传真陈新明张文峰赵吉虹

【Author】 Yang Hongyu et al. Department of Oral & Maxillofacical Surgery,College of Stomatology, Hubei Medical University,Wuhan,430070

【机构】 湖北医科大学口腔医学院颌面外科

【摘要】 为深入研究舌癌复发,根据152例舌癌患者,其中61例复发病例的临床资料,对复发的原因进行单因素分析。结果表明:舌癌复发与病程、肿瘤表面最大直径、生长方式、TNM分期及治疗手段有关,与病理分级和术后是否修复无关。肿瘤表面最大直径>3cm,病程>6个月,生长方式为浸润型,T3和T4期及未进行综合治疗的患者复发率明显增高(P<0.01)。作者还对舌癌复发的治疗和预防进行了初步探讨

【Abstract】 Two hundred and nine patients with tongue cancer from 1980 to 1994 were studied retrospectively.Follow-up were performed for these patients.Clinical and pathological parameters were reviewed and analysed by univariate analysis. The follow-up results of 152 cases were obtained.The recurrent rates of the groups with course more than 6 months (compared with less than 6 months),greatest surface diameter more than 3 cm (compared with less than 3 cm),in vasive way of growth (compared with other ways of growth) or/and without receiving combined therapy (compared with combined therspy) were significantly higher than their comparative groups.But the recurrence is not correlated with degree of differentiation and postoperative repair. Negative margins in tongue cancer,combined therapy and regular follow-up should be emphasized to decrease the recurrent rate.Prevention and treatment of the recurrence are also discussed.

【关键词】 舌癌复发
【Key words】 Tongue cancer Recurrence.
  • 【文献出处】 口腔颌面外科杂志 ,CHINESE JOURNAL OF ORAL & MAXILLOFACIAL SURGERY , 编辑部邮箱 ,1997年02期
  • 【分类号】R739.86
  • 【被引频次】19
  • 【下载频次】163
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