摘要
目的 :总结晚期下咽癌的治疗经验。方法 :回顾分析根治手术 +术后放射治疗晚期下咽鳞癌 2 9例的临床资料。结果 :12例发生了切口感染 ,感染率为 4 1.4 % (包括感染致咽瘘 ) ;移植物坏死 ,咽瘘和吻合口狭窄等严重并发症发生率为 37.9% (11 2 9) ;住院期间 1例死于急性心肌梗死 ,住院死亡率为 3.4 % ;吞咽成功率为 96 .4 % (2 7 2 8)。术后平均 30d经口进食 (10～ 90d) ;术后平均住院 4 0d(13～ 10 0d)。 3年、5年绝对生存率分别为 4 8.3% (14 2 9)和 37.9% (11 2 9)。结论 :对晚期下咽癌患者应根据病变范围不同积极采取不同的手术方法和术后放疗 。
Objective: To summarize the treatment experience of advanced hypopharyngeal carcinoma.Method:The clinical data of 29 cases with advanced hypopharyngeal carcinoma were retrospectively analyzed who had received the radical surgery and radiation. Results: The severe complication rate (including graft necrosis, fistulae and stricture) was 37.9% (11/29). The successful deglutition rate was 96.4%(27/28).Mean resumption of oral intake was 30 days(10～90days), and mean hospitalization was 40 days(13～100days). Three-year survival rate was 48.3%(14/29), and 5-year survival rate was 37.9%(11/29). Conclusion: The better result will be received for the cases with advanced hypopharyngeal carcinoma who have been got suitable surgery and radiation.
出处
《山东大学基础医学院学报》
2003年第5期290-291,共2页
Journal of Preclinical Medicine College of Shandong Medical University
关键词
晚期下咽癌
根治手术
放射治疗
切口感染
咽瘘
吻合口狭窄
Hypopharyngeal neoplasms
Neoplasms, squamous cell
Treatment outcome
Surgical procedures,operative
