摘要
鼻咽癌经过首程治疗后,原发灶仍有部分残留及复发。研究表明,有效的救援治疗手段只有放射治疗和手术治疗。但再程放疗效果差且后遗症较多。常规手术要么术野暴露不清,要么创伤大,术中出血多,术后瘢痕形成,多数患者难以接受。随着鼻内镜的广泛应用,逐渐显示其在鼻咽癌原发灶残留或复发手术中的优势。该文通过观察鼻内镜手术切除残留或复发病灶与再程放疗患者生存率及生存质量的对比,阐述了鼻内镜手术在鼻咽癌原发灶残留或复发中应用的可行性。
After treatment of nasopharyngeal carcinoma（ NPC）,there are still residual and recurrence. Studies have shown that,the effective treatments of residual and recurrence are only radiotherapy and surgery. But secondly radiotherapy has poor results,and more sequelaes. Because of unclear operative field,large trauma,moreblood loss and postoperative scar formation,the majority of patients feel difficult to accept conventional surgery. With the extensive application of the nasal endoscopic surgery,nasal endoscopic surgery shows its advantage in the treatment of NPC residual or recurrence. This paper compares the survival and quality of life between endoscopic surgery and secondly radiotherapy in patients and expounds the feasibility of applying the nasal endoscopic surgery in NPC residual or recurrence.
出处
《中国临床新医学》
2015年第2期174-177,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西科学研究与技术开发计划项目(编号:桂科攻1355005-3-9)
关键词
鼻咽癌
复发或残留
鼻内镜手术
Nasopharyngeal carcinoma（NPC）
Residual or recurrence
Nasal endoscopic surgery
