口腔舌鱗狀細(xì)胞癌的治療效果分析.pdf

1、中國(guó)協(xié)和醫(yī)科大學(xué)碩士學(xué)位論文口腔舌鱗狀細(xì)胞癌的治療效果分析姓名：安常明申請(qǐng)學(xué)位級(jí)別：碩士專業(yè)：腫瘤學(xué)指導(dǎo)教師：張彬20070501中國(guó)協(xié)和醫(yī)科大學(xué)碩十學(xué)位論文Abstractobjectives：ToanalyzetheresultsoftreatmentoforaltonguesquamousceilcarcinomawitIIdi疏renttreatmentmodalitiesMethod：Twohundredandtenpatie

2、ntswithoraltonguesquamouscellcarcinomatreatedwithcurativeintentfrom1985to2004inthishospitalwerereviewedretrospectivelyTreatmentmodalitiesincludedsurgeryalone／Sradiotherapyalone／Rpreoperativeradiotherapyplussurgery／RS，and

3、surgerypluspostoperativeradiotherapy／SRFive—yearcumulativeobservedsurvivalrate(co∞，cumulativedisease—specificsurvivalrate(CDSS)，lymphnodesmetastasisrateandlocalandregionalcontrolratesofdifferentgmupswerecalculated，thensi

4、gnificantprognosticfactorswereidentifiedResults：FiveyearCOSandCDSSratesforthewholegroupwere611％and659％，respectivelyThe5yearCDSSratesforearlystagediseases(stageIandII)were90_3％forSgroup，712％forRgroup，859％forRSgroup，and889

5、％forSRgroupWhileforadvancedstagediseases(stageIllandIV)，theywere727％，235％，614％and632％，respectivelyThe5yearlocalcontrolratewas795％andregionalcontrolrate873％RSgreuphadhighermandibleresectionandreconstructionratesmoreradica

6、lneckdissectionsandoperativecomplicationsthanSRgroupLocalrecurrenceratesforearlystagediseaseswere33％forSgroup321％forRgroup48％forRSgroup125％forSRgroupWhileforadvancedstagediseasestheywere11I％，692％，272％，and231％，respectivel

7、yForprimaryoperativepatients1ymphnodesmetastasisratewas467％andmetastasisratestolevelIVwere213％333％20O％53％，and13％，respectivelySignificantimprovementinCDSSwasseeninpatientswithlocalandregionalcontrol，earlyclinicalstage，you