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目的探讨舌癌治疗后预后的影响因素。方法对我科１９８５年１月至１９９７年１２月手术及综合治疗８６例舌癌进行回顾性分析。结果３、５、１０年生存率分别为７６．７％、６９． ２％、５７．９％，Ⅰ、Ⅱ期患者的生存率明显高于Ⅲ、Ⅳ期；高分化癌的预后明显高于中、低分化癌；淋巴结转移者预后明显差于未转移者；舌体癌预后明显高于舌根癌；单纯手术组的生存率明显低于综合治疗组，而其复发率明显高于综合治疗组。结论影响预后的因素与临床分期、病理类型、癌瘤部位、原发灶大小、癌瘤累及区域大小、淋巴结转移及治疗方法等有关。
Objective To explore the prognostic factors of tongue cancer after treatment. Methods A retrospective analysis was performed on 86 cases of tongue cancer treated surgically and comprehensively from January 1985 to December 1997 in our department. Results The 3, 5 and 10-year survival rates were 76.7% and 69 respectively. 2% and 57.9% respectively. The survival rates of stage Ⅰ and Ⅱ patients were significantly higher than those of stage Ⅲ and Ⅳ. The prognosis of well-differentiated carcinoma was significantly higher than that of moderate and poorly differentiated carcinoma. The prognosis of patients with lymph node metastasis was significantly lower than that without metastasis Body cancer prognosis was significantly higher than tongue cancer; Survival rate was significantly lower than the surgery alone group, while the recurrence rate was significantly higher than the comprehensive treatment group. Conclusion The prognostic factors are related to clinical stage, pathological type, location of tumor, size of primary tumor, tumor size, lymph node metastasis and treatment.