目的 :探讨舌根癌的手术治疗方法。方法 :舌根癌患者 2 1例 ,经舌骨咽切开进路 11例 ,下颌骨部分切除进路 7例 ,下唇、下颌骨、舌正中切开进路 3例。结果 :3例下唇、下颌骨、舌正中切开者出现语言功能障碍 ,吞咽困难 ;余 18例口腔功能均正常。随访 2～ 5年 ,失访 2例 ,2年生存 18例 ,3年生存 13例 ,5年生存 5例。结论 :经舌骨咽切开进路对吞咽功能及语言功能的影响较小 ,是一种值得推广的术式。 Objective: To explore the surgical treatment of tongue cancer. Methods: Twenty - one cases of tongue cancer were treated by xiphoid pharyngeal incision in 11 cases, mandibular partial resection in 7 cases, lower lip, mandible and tongue in 3 cases. Results: Three cases of lower lip, mandible and tongue with middle incision had speech dysfunction and swallowing difficulties. The remaining 18 cases had normal oral function. Follow-up 2 to 5 years, 2 cases were lost to follow-up, 2 years survival in 18 cases, 3 years survival in 13 cases, 5 years survival in 5 cases. Conclusion: The approach of pharyngeal pharyngeal incision has little effect on the swallowing function and language function, which is worth to be popularized.