自1965年～1985年采用外科手术治疗的舌鳞状细胞癌133例,随访五年生存率为61.65%。术后病检淋巴结阳性率达46.62%,淋巴结阳性明显影响生存率,71例颈部淋巴结阴性者,五年生存率为81.69%,62例颈部淋巴结阳性者,五年生存率为38.70%,二组经统计学处理有非常显著差异 X~2=25.86,P<0.01。因此作者认为除对 T_1N_0舌癌在原发灶控制后作临床观察外,T_2以上舌癌应积极争取做颈淋巴清扫术,以提高生存率。 Surgical treatment of tongue squamous cell carcinoma was performed in 133 cases from 1965 to 1985. The follow-up five-year survival rate was 61.65%. Postoperative lymph node positive rate reached 46.62%, lymph node positive significantly affected the survival rate, 71 cases of cervical lymph node negative, five-year survival rate was 81.69%, 62 cases of cervical lymph node positive, five-year survival rate was 38.70%, There was a significant difference between the two groups after statistical analysis (X~2=25.86, P<0.01). Therefore, the author believes that in addition to T_1N_0 tongue cancer after clinical observation of the control of the primary tumor, T2 tongue cancer above should actively fight for neck dissection to improve survival.