鼻咽癌放疗后残留和复发颈部转移灶的手术治疗

Surgical Treatment of residual / recurrent cervical metastasis foci after radiotherapy for nasopharyngeal carcinoma

目的对鼻咽癌放疗后残留和复发颈部转移灶采用手术治疗的疗效、并发症等进行探讨。方法对48例鼻咽癌放疗后残留颈部转移灶患者进行手术治疗。术后行病理检查、并进行随诊。结果手术治疗的5年生存率为33.6%,本组病例未发生严重的并发症。结论鼻咽癌放疗后颈淋巴结残留或复发首选手术治疗术式采用根治性颈清扫术。

Objective To study the cervical metastasis foci after effects and the complication of surgical treatment of residual / recurrent radiotherapy for nasopharyngeal carcinoma.Methods 48cases of recurrent cervical metastasis after radiotherapy for nasopharygeal carcinoma were treated with operation. The resected specimens were sent for pathological text, All cases were follow-up and the complications were analyzed, Results The 5-year survival rate was 33,6%, there was no operative complication, Conclusion The treatment of residual or recurrent cervical metastasis after radiotherapy for nasopharygeal carcinoma is the first choice, The most feasible operative method is radical neck dissection,