摘要
目的：探讨鼻咽原发癌救援性外科治疗的新进路。材料与方法：６例鼻咽癌放疗后鼻咽复发患者，采用上颌骨－鼻内翻进路切除鼻咽复发癌。结果：６例鼻咽癌放疗后隐窝或侧壁的复发癌，经上颌骨－鼻内翻后，能够充分显露鼻咽及相邻的部分鼻咽旁组织，进行根治性手术切除，手术切缘病理均为阴性。术后伤口按期愈合，且口腔功能不受影响。术后随访１年未见复发。结论：上颌骨－鼻内翻进路能够充分暴露鼻咽及鼻咽旁间隙，将鼻咽及扩展到鼻咽旁和鼻腔的癌瘤根治性切除；该进路也可用于鼻咽其它肿瘤或颅底肿瘤的手术切除。
Objective: To study new approach of salvage surgery in resection of primary lesion of nasopharyngeal carcinoma. Method: Six cases of locally recurrent nasopharyngeal carcinomas after radiotherapy were operated by the maxillarynasal medial swing approach to resect the primary lesions. Results: In all of six cases of recurrent nasopharyngeal carcinomas in the fossa of Rosenmuller or in lateral walls of nasopharynx after radiotherapy, the whole nasopharynx and paranasopharyngeal space were fully exposed by the maxillary-nasal medial swing approach. Oncological resection of tumor in all cases were performed without any pathological evidence of residual tumor in resection margins. After operation, the wounds healed primarily in all cases without influence of oral function. No recurrence occurred in one year of postoperative follow-up in all cases. Conclusions: The maxillary-nasal medial swing approach to the nasopharynx offers satisfactory exposure of the whole nasopharynx and the paranasopharyngeal space for an oncological resection of the tumor located in nasopharynx or extending to paranasopharyngeal space or nasal space. The maxillary swing approach can also be recommended for resection of other neoplastic lesions in the nasopharynx and skull base.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1998年第4期271-273,共3页
Chinese Journal of Cancer
关键词
鼻咽肿瘤
外科手术
手术进路
Nasopharyngeal Neoplasms/surgery Maxillary-nasal medial swing approach/methods
