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目的对静止期舌体动静脉畸形并发鳞癌的临床治疗进行探索。方法本院收治舌体动静脉畸形并发鳞癌患者2例,皆为先天性舌体动静脉畸形静止期,癌性病灶位于单侧舌腹部动静脉畸形瘤体区内,术前病理均为鳞状细胞癌(中度分化),TMN分期:T2M0N0。入院后给予常规检查,病灶区及颌颈部增强CT检查。结果手术均获成功。舌瓣生长良好,无萎缩,舌体组织无坏死,语言、吞咽功能恢复良好。结论对动静脉畸形的诊断,临床分期的判断,供应血管的明确,舌癌的TMN分期、手术方案的正确制定(切除范围及缺损修复方法),尤其是对动静脉畸形术中、术后出血的应急处理十分重要。如术前准备充分,应急措施得当,此类疾病的治疗可以取得理想的效果。
Objective To explore the clinical treatment of squamous cell carcinoma of the tongue in the silent period. Methods Two cases of tongue-associated arteriovenous malformation complicated with squamous cell carcinoma were treated in our hospital. All of them were congenital tongue arteriovenous malformations. The cancerous lesions were located in the unilateral lingual abdominal arteriovenous malformations. The preoperative pathology Cell carcinoma (moderately differentiated), TMN staging: T2M0N0. After admission to give routine examination, lesion area and jaw neck enhanced CT examination. The results of surgery were successful. Good growth of the valve flap, no atrophy, tongue tissue no necrosis, language, swallowing function recovered well. Conclusion The diagnosis of arteriovenous malformations, clinical staging of judgment, the supply of blood vessels clear, tongue cancer TMN staging, the correct development of surgical options (resection range and defect repair methods), especially for arteriovenous malformations, postoperative bleeding The emergency response is very important. If adequate preoperative preparation, emergency measures properly, the treatment of such diseases can achieve the desired results.