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从1990年3月至1997年4月期间,为11例舌根癌病人施行了舌根癌根治性切除一期舌瓣后置修复术。其中9例为放疗后局部复发或放疗后局部未控制者,经施行此手术拯救,2年拯救成功6例,成功率为66.67％(6/9)。2例为首次接受此手术根治性切除者。共7例术后无瘤生存2年以上,2年无瘤生存率为63.64％(7/11)。在手术设计上,应用带有血管神经蒂的游离舌瓣后置修复舌根部分切除所造成的缺损。术后舌瓣不同程度地保持了正常舌的生理功能,病人术后生活质量较高。本文着重介绍此手术的操作方法和适应证。
From March 1990 to April 1997, a tongue flap radical resection was performed for 11 patients with tongue cancer. Among them, 9 cases were local recurrence after radiotherapy or local uncontrolled after radiotherapy. After this operation was saved, 6 cases were successfully rescued in 2 years and the success rate was 66.67% (6/9). Two patients had the first radical resection. A total of 7 cases had no tumor survival for more than 2 years. The 2-year disease-free survival rate was 63.64% (7/11). In the surgical design, the defect caused by partial removal of the base of the tongue was repaired using a free flap with a vascular nerve pedicle. Postoperative tongue flaps maintained the physiological function of normal tongue to varying degrees, and the patient’s postoperative quality of life was higher. This article focuses on the operation method and indications of this operation.