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在舌癌的治疗中,从保存舌的功能方面来讲,舌癌早期采用“镭针”埋藏疗法是最好的。但根据癌的浸润范围,常需舌半侧切除或广泛切除。一般说来,切除范围越小术后的功能就越好。然后,目前肌皮瓣或带血管游离皮瓣等再造术的开展,将舌功能的损害减少到最低程度。本文就单纯舌半侧切除与舌切除术后胸大肌皮瓣舌再造患者的发音障碍进行比较,并对舌癌广泛切除术后的误咽问题加以讨论。
In the treatment of tongue cancer, from the aspect of preserving the tongue function, tongue cancer early use of “laser needle” burial therapy is the best. However, according to the extent of cancer infiltration, the tongue often needs half resection or extensive excision. In general, the smaller the resection range, the better the postoperative function. Then, at present, reconstruction of myocutaneous flap or free flap with blood vessels is carried out to minimize the damage of the tongue function. In this paper, we compared the dysphonia of patients with reconstruction of pectoralis major myocutaneous flap after simple tongue resection and tongue resection, and discussed the swallowing problems after extensive resection of tongue cancer.