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上颌窦鳞癌最佳的治疗方式尚有争议,单纯照射、照射与手术或三种方法结合都可作为根治手段。治疗方法本身虽可作为一种预后的因素,但各家报告的结果则难相比较,其原因一是缺乏被人们广泛接受的分期系统,另一个是临床惯用的分期不可靠。本文报告95例上颌窦鳞癌,采用全上颌切除(47例)、部分上颌切除(13例)及上颌切开同时切去或不切去肿块(35例),用多元回归分析各种因素与预后的关系。按AJ C分期,根据手术发现,T_2NoMo_3例,T_3NoMo55例,T_4NoMo27例,另12例为N_1～N_3或M_1(2例在诊断后不久远处转移死亡,分析时除外)。所有病例均
The best treatment for maxillary sinus squamous cell carcinoma is still controversial. Simple irradiation, irradiation and surgery or a combination of the three methods can be used as a radical method. Although the treatment itself can be used as a prognostic factor, the results of the reports are difficult to compare. The reasons for this are the lack of a staging system that is widely accepted and the clinically unusable staging. This article reports 95 cases of maxillary sinus squamous cell carcinoma, using total maxillary resection (47 cases), partial maxillary resection (13 cases) and maxillary incision with or without ablations (35 cases), using multiple regression analysis of various factors and The relationship between prognosis. According to the AJ C staging, according to the surgical findings, there were T_2NoMo_3 cases, T_3NoMo cases, and T_4NoMo cases, and the other 12 cases were N_1~N_3 or M_1 (2 cases died in distant metastasis shortly after diagnosis, except during analysis). All cases are