大切除术后的复发模式和瘤结果:重建模式是否重要?
Cameron Lee1, Salim Abdul Wasay2, Glyndwr Jenkins3
1Assistant Professor, Department of Oral and Maxillofacial Surgery, University of Maryland Medical Center, Baltimore, MD.
概括
对口腔癌的腔切除术后的重建方法不会影响复发的检测或生存. 闭塞器和本地组织重建都显示了口腔腔恶性瘤的类似结果.
科学领域:
- 口腔瘤学 在口腔瘤学.
- 口面部手术 口面部手术
- 重建性手术是一种重建性手术.
背景情况:
- 大切除术后的重建对于口腔癌患者至关重要.
- 人们担心重建方法可能会影响复发检测和结果.
研究的目的:
- 评估重建方式与当地复发检测时间之间的关联.
- 评估重建对大切除术患者的生存结果的影响.
主要方法:
- 对154名因口腔恶性瘤而接受大切除术的患者进行了回顾性队列研究.
- 阻塞器重建与本地组织重建 (局部,区域,自由) 的比较.
- 分析了局部无病生存率,总生存率和复发检测方法.
主要成果:
- 根据重建方式,在局部无病生存率或总生存率上没有显著差异.
- 复发检测 (临床与放射) 和切除能力也没有与重建类型有显著的关联.
- 局部复发发生在26.6%的患者中,在阻塞器和本地组织组之间,复发率相似.
结论:
- 大切除术后的重建方式不会影响局部复发检测的及时性.
- 重建的选择 (封闭器与本地组织) 不会对口腔腔恶性瘤的生存结果产生负面影响.
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