【作者】 周先略； 唐； 贺国权；

【Author】 ZHOU Xian-lue,TANG Yi,HE Guo-qwn. JingZhou Centra Hospital,HuBei 434020.China

【机构】 湖北省荆州市中心医院；

【摘要】 <正>目的:通过对口底大型肿瘤手术治疗病例的分析,了解其特殊性,探讨安全、有效的手术治疗方法。方法:收集29例波及口底大部或全部的良、恶性肿瘤患者资料,其中良性肿瘤19例,恶性肿瘤10例。根据肿瘤部位及口底解剖的特殊性,采取单纯舌下弧形切口6例,单纯颏下马蹄形切口1例,口内外联合切口14例,口内外切口加下颌正中切开8例;有17例术前或手术结束时行气管切开;10例恶性肿瘤有6例行口底(舌)、颌颈根治术,其中有4例保留下颌管下缘,另4例行肩胛舌骨上清扫术。口底组织缺损以带蒂肌皮辦或游离皮瓣修复。结果:19例良性肿瘤中,17例术后伤口I期愈合;除3例未能完整更多还原

【Abstract】 Objective:To analyst the surgical treatment of large tumor of floor of mouth,and find out the particularity.explore the secure and effectual surgical treatment.Method:29 cases of tumor of floor of mouth,including 19cases of benign tumor and 10 cases of carcinoma,were collected.Different method and path was adopted according to the position of the tumors.Results:All of patientes received satisfactory effect.Conclusion:The keystone of operation of big tumors of floor of mouth is to keep expedite of breath.consummate stanching,repair trauma of operation immediately.etc.更多还原