论文部分内容阅读
目的探讨合理的根治性颈淋巴清扫术在口腔颌面部恶性肿瘤的应用价值。方法将67例口腔颌面部恶性肿瘤患者分为传统根治性颈淋巴清扫术(CRND)和合理的根治性颈淋巴清扫术(RRND)两组,比较分析两组术后3a、5a生存率和生存质量。结果两组3a、5a生存率、局部复发率比较差异无统计学意义(P>0.05),但RRND组患者生存质量评分明显高于CRND组患者,差异有统计学意义(P<0.05)。结论选择合理的根治性颈淋巴清扫术能够明显改善口腔颌面部恶性肿瘤患者术后的生存质量,但不会降低患者术后生存率,有重要的临床应用价值。
Objective To explore the value of rational radical neck dissection in oral and maxillofacial malignancies. Methods Sixty-seven patients with oral and maxillofacial malignant tumor were divided into two groups: conventional radical neck dissection (CRND) and radical neck dissection (RRND). The postoperative survival rates of 3a and 5a Quality of Life. Results There was no significant difference in the survival rates and local recurrence rates between the two groups (P> 0.05). However, the scores of quality of life in RRND group were significantly higher than those in CRND group (P <0.05). Conclusion Choosing a reasonable radical neck dissection can significantly improve the quality of life of patients with oral and maxillofacial malignancies, but will not reduce the postoperative survival rate of patients, and has important clinical value.