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目的 探讨扁桃体癌手术治疗的方法及其疗效。方法 对 2 4例扁桃体癌进行手术治疗。根据病变情况不同 ,采用经口入路、下颌骨切开外旋入路、下颌骨切除入路、经舌骨入路等 4种不同的手术入路切除肿瘤 ,以胸大肌肌皮瓣、胸骨舌骨肌筋膜瓣、舌瓣后置、软腭黏膜瓣修复组织缺损。所有患者术后行放疗。结果 3年生存率为 76.0 % ,5年生存率为 60 .8%。患者咀嚼、吞咽、呼吸、语言功能恢复良好。结论 选择合适的手术入路 ,在彻底切除肿瘤的前提下 ,尽量减少手术创伤 ,最大限度地重建患者的口咽功能 ,并辅以术后放疗 ,可显著提高扁桃体癌患者的生存率和生活质量
Objective To investigate the surgical treatment of tonsil cancer and its efficacy. Methods Twenty-four patients with tonsillar carcinoma underwent surgical treatment. According to the different pathological changes, using oral approach, mandibular incisive circumcision, mandibular resection approach, hypospadias and other 4 kinds of surgical approach to remove the tumor to the pectoralis major myocutaneous flap, Sternohyoid myofascial flap, posterior flap, soft palate mucosal flap for tissue defect repair. All patients underwent radiotherapy. Results The 3-year survival rate was 76.0% and the 5-year survival rate was 60.8%. Patients chewing, swallowing, breathing, language function recovered well. Conclusion Select the appropriate surgical approach, the complete removal of the tumor under the premise of minimizing surgical trauma, to maximize the reconstruction of patients with oropharyngeal function, combined with postoperative radiotherapy, can significantly improve the survival rate of tonsillar cancer patients and quality of life