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恰当地选择舌根癌外科手术进路，修复肿瘤切除后的缺损，对提高生存率、恢复并保存患者的语言、吞咽等功能是十分必要的。1987～1994年，对23例舌根鳞状细胞癌采取了经咽侧和经下颌骨切开的手术进路，用颈阔肌瓣一期修复舌根咽侧缺损。术后2、3、5年生存情况分别为20／23、13／16、4／7。语言及吞咽功能恢复良好，部分病人因术后放疗致口腔干燥而影响吞咽。根据肿瘤大小、侵袭范围选择手术进路才能充分显露肿物，便于彻底切除，又可避免不必要的损伤。颈阔肌瓣尽管修复面积有限，用于修复部分舌根、咽侧缺损，具有切取方便、距受区近、质地软、成活率高、并发症少等优点。
Appropriate choice of tongue cancer surgical approach to repair the defect after tumor resection, to improve the survival rate, restore and save the patient's language, swallowing and other functions is very necessary. From 1987 to 1994, 23 cases of tongue squamous cell carcinoma were treated by pharyngeal and mandibular incision, and the platysma flap was used to repair the defect of the base of pharynx. The 2, 3, 5 year survival rates were 20/23, 13/16, and 4/7, respectively. Language and swallowing function recovered well, some patients due to dry mouth after radiation therapy affect swallowing. According to the size of the tumor, invasion of the surgical approach to select the full exposure of the tumor, to facilitate thorough removal, but also to avoid unnecessary damage. Although the repair of platysma flap area is limited, used to repair part of the base of the tongue, pharyngeal defects, with easy to cut away from the area near, soft texture, high survival rate, fewer complications and so on.