设为首页 - 加入收藏 认准体育资讯站(https://www.lvtia.com),专注体育资讯大品牌游戏!
热搜:
广告位
当前位置: 主页 > 医院环境 >

梨状窝外侧uedbet官网的治疗体会

2018-03-26 14:31 [医院环境] 来源于:网络整理

Treatment of pyriform sinus carcinoma involving the lateral wall

摘要

: 作用 根究梨状窝外侧uedbet官网的临床独特的、治愈方法和疗效勘测。 回忆性辨析1997年6月至2009年6月77例梨状窝外侧uedbet官网有耐性的的临床材料.按照2002年UICC分期规范,8例I期,10期,III期32例,IV级27例随机分为两组。,只有放射疗法组(R组)17例,另一组手术加放射疗法(SR组)60例,辐射在中加料50 ~ 75 的gy.sr组按照支点区损害的产生。

检查整个>>

音管

Abstract:

Objective To present and discuss the clinical features,treatment,and efficacy of pyriform sinus carcinoma involving the lateral wall.Methods Seventy-seven patients with pyriform sinus cancer involving the lateral wall (举行 Ⅰ 8,stage Ⅱ 10,stage Ⅲ 32,stage Ⅳ 27,according to UICC 2002 分期) were treated from Jun 1997 to Jun 2009 in the department of otorhinolaryngology head and neck surgery,Yuhuangding Hospital.The patients were divided into two 组:组 one 17 cases,simply underwent radiation therapy (R 组) ; Group two 60 cases underwent surgery plus postoperative radiation (SR 组).All patients underwent radiotherapy 50-75 Gy.In SR group,hyoid area and lateral pharyngeal approaches were taken according to the lesions for resection.To repair the defects and reconstruct the functions of larynx and pharynx,regional roping in suture,fascial flap/muscular-fascial of strap muscles,glosso-flap,musculocutaneous flap of major pectoral muscle,joint split graft or heterologous (牛) acellular dermal matrix were used respectively.Results In group R,the primary tumor and neck lymph node metastasis disappeared at the end of radiotherapy in 15 cases.For one case,the N3 cervical lymph nodes shrank,but failed in local control and died of systemic metastases after 7 months.For another case,the N2 neck lymph nodes significantly reduced after the full course of radiation,PET-CT and biopsy did not find the cancer,but the tumor grew again after 6 months,and died of a neck bleeding 11 months later.All repairing materials used were alive in SR group.Two cases developed postoperative wound infection,and 2 cases suffered from pharyngeal fistula.All patients retained laryngeal functions,and all patients in SR group recovered diet 12-30 days,the mean time was 15.6 days.Three and 5 year survival rates for all 77 patients were % and %.For stage Ⅰ + stage Ⅱcases in SR group and R group,3 and 5 year survival rates were %,% and %,% respectively.There was no significant difference between the two groups (X2=).For cases of stage Ⅲ + stage Ⅳ of the SR group and R group,3 and 5 year survival rates were %,%,%,and 0.There was a very significant difference (X2 =20.496,P =0.000) ; all cases in SR group and in R group for 3,5 survival rates were %,%,%,and % respectively.There was also a significant 合乎情理 difference (X2 =4.644,P =0.031).Conclusions Pyriform sinus carcinoma involving the lateral wall is characterized with scattered growth on the surface of mucous or submucously,tending to invade lamina 基鳃骨 thyroidea.Simple radiotherapy can get better therapeutic effect for early stage cases.The comprehensive therapy measures should be taken in advanced cases,especially those with surgical indications should be taken to surgery plus radiotherapy.For the purpose of excising the tumor thoroughly and preserving good laryngeal functions,proper operative approaches and ways of repairing should be 挖出现的.

(编辑:admin)

网友评论
无法在这个位置找到: ajaxfeedback.htm
推荐文章
广告位
广告位
广告位