中国口腔颌面外科杂志

中国口腔颌面外科杂志 ›› 2019, Vol. 17 ›› Issue (3): 280-284.doi: 10.19438/j.cjoms.2019.03.018

• 临床总结 • 上一篇    下一篇

56例合并系统性疾病的口腔癌患者的治疗效果评价

高策1, 2, 杨小琛1, 2, 徐豪越1, 2, 葛胜优1, 2, 冯元勇1, 2, 卜令学1, 2, 贾暮云1, 2, 王双义1, 2, 陈红华3, 陆海军4, *, 宋凯1, 2, *, 尚伟1, 2, *   

  1. 1.青岛大学附属医院,山东 青岛 266100;
    2.青岛大学口腔医学院,山东 青岛 266003;
    3.青岛大学附属医院 多学科会诊中心
    4.肿瘤科,山东 青岛 266100
  • 收稿日期:2018-11-05 修回日期:2019-01-15 出版日期:2019-05-20 发布日期:2019-06-21
  • 通讯作者: 尚伟,E-mail: liweishang@126.com;宋凯,E-mail: assongkai@163.com;陆海军,E-mail: luhj789@126.com。
  • 作者简介:高策（1991-）,女,在读硕士研究生,E-mail: gccindy@126.com

Treatment experiences of 56 oral cancer cases with systemic diseases

GAO Ce1, 2, YANG Xiao-chen1, 2, XU Hao-yue1, 2, GE Sheng-you1, 2, FENG Yuan-yong1, 2, BU Ling-xue1, 2, JIA Mu-yun1, 2, WANG Shuang-yi1, 2, CHEN Hong-hua3, LU Hai-jun4, SONG Kai1, 2, SHANG Wei1, 2   

  1. 1.Affiliated Hospital of Qingdao University. Qingdao 266100;
    2.College of Stomatology, Qingdao University. Qingdao 266003;
    3.Multidisciplinary Consultation Center;
    4.Department of Oncology, Affiliated Hospital of Qingdao University. Qingdao 266100, Shandong Province, China
  • Received:2018-11-05 Revised:2019-01-15 Online:2019-05-20 Published:2019-06-21

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摘要： 目的: 总结56例合并系统性疾病的口腔癌患者的诊疗经验。方法: 回顾56例口腔癌患者的临床资料,根据口腔癌的特征,分析和制订局部及全身治疗方案,评价治疗效果。结果: 56例患者分别接受手术、放化疗、免疫治疗等。对34例（60.71%）合并高血压患者、11例（19.64%）合并冠心病患者、1例（1.79%）合并严重心律失常的患者提出心血管治疗意见;对23例（41.07%）糖尿病患者提供了合理化控制血糖的方案;对19例（33.93%）合并呼吸系统疾病的患者提出了相应的肺功能检测及术后并发症的治疗方案。结论: 多学科协作对合并系统性疾病的口腔癌患者的诊疗合理、有效,值得完善和推广。

关键词: 口腔癌, 多学科协作诊疗, 全身疾病, 系统疾病

Abstract: PURPOSE: To summarize the experience of diagnosis and treatment of 56 oral cancer patients with systemic diseases. METHODS: The clinical data of 56 oral cancer patients with systemic diseases who were diagnosed and treated by Affiliated Hospital of Qingdao University were retrospectively reviewed. According to the features of oral cancer, the main therapy of primary tumor and systemic diseases were analyzed. RESULTS: In 56 patients, the treatment modalities for primary tumors included surgery, radiotherapy, chemotherapy, immunotherapy. Cardiovascular treatment was recommended for 34 patients (60.71%) with hypertension, 11 patients (19.64%) with coronary heart disease, 1 patient (1.79%) with severe arrhythmia. Twenty-three (41.07%) patients with diabetes mellitus were given reasonable blood sugar control protocol. Nineteen (33.93%) patients with respiratory diseases were given corresponding lung function test and treatment of complications after surgery. CONCLUSIONS: Multidisciplinary team approach is reasonable and effective for the diagnosis and therapy of oral cancer patients with systemic diseases, and it is worth of clinical application.

Key words: Oral cancer, Multidisciplinary team approach, Systemic disease

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