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作者对１９８０年１月～１９８９年６月收治４１例舌癌作出回顾性分析，资料提示吸烟、残冠、残根及锐利牙尖的刺激是发病的诱因之一．鳞癌占（３７／４１）９０．２４％．单独手术治疗１３例，外科手术综合治疗２４例、单独放射治疗３例、放射治疗加化疗１例．５年生存率：临床Ⅰ期（２／３）６６．６６％、Ⅱ期（１０／１１）９０．９９％、Ⅲ期（９／１８）５０％、Ⅳ期（２／９）２２．２２％，平均为５６．０９％．回顾分析说明外科手术综合治疗中术前作放射治疗对舌癌减少复发，提高５年生存率具有一定的积极作用．术式中保留或切除下颌骨应持慎重态度．舌骨上淋巴清扫术非舌癌适应症，应作颈淋巴清扫术．
The authors retrospectively analyzed 41 cases of tongue cancer from January 1980 to June 1989. The data suggest that smoking, residual crown, residual root and sharp cusp stimulation are one of the causes. Squamous cell carcinoma accounted for (37/41) 90.24%. Thirteen cases were treated by surgery alone, 24 cases were treated by surgery, 3 cases were treated by radiotherapy alone and 1 case was treated by radiotherapy and chemotherapy. The 5-year survival rate was 66.66% in stage I (2/3), 90.99% in stage II (10/11), 50% in stage III (2/9) and 22.22 %, With an average of 56.09%. Retrospective analysis shows that preoperative radiotherapy in the surgical treatment of comprehensive treatment of tongue cancer reduce recurrence and increase 5-year survival rate has a certain positive effect. Procedural preservation or excision of the mandible should hold a cautious attitude. Tongue lymphoma dissection non-tongue cancer indications should be made for cervical lymph node dissection.