论文部分内容阅读
本文总结了我科１０年来（１９８７～１９９７）对鼻咽癌放疗后颈淋巴结残留的手术治疗和预后情况；本组术后随访５年以上的４０例病人中，术后３年生存率为５２．５％（２１／４０）；５年生存率为４０．０％（１６／４０）；残留淋巴结的大小及周围组织受侵犯的程度是影响预后的主要因素。根据术后颈部淋巴结残留的病理情况分析，认为鼻咽癌放疗后颈淋巴结残留的手术方法应以全颈淋巴结清扫术为主。只要原发灶已经控制，颈淋巴结残留的手术治疗是一种有效的补救疗法。它可以清除颈部的残留病灶，提高生存率。颈部淋巴结残留的手术治疗还可避免再放射引起的严重并发症。
This article summarizes the 10 years of our department (1987 ~ 1997) of nasopharyngeal carcinoma after radiotherapy of cervical lymph node residual surgical treatment and prognosis; this group of 40 patients were followed up for 5 years, the 3-year survival rate was 52 .5% (21/40); 5-year survival rate was 40.0% (16/40); the size of residual lymph nodes and the extent of invasion of surrounding tissues were the main factors affecting the prognosis. According to the postoperative pathological analysis of cervical lymph node remnant, that the surgical treatment of residual cervical lymph nodes after nasopharyngeal carcinoma should be the whole neck lymph node dissection. As long as the primary tumor has been controlled, residual surgical treatment of cervical lymph nodes is an effective remedy. It can clear the neck of residual disease, improve survival. Surgical treatment of residual cervical lymph nodes can also avoid the serious complications caused by reradiation.