多学科合作外科处理头颈部复杂肿瘤

Multidisciplinary cooperation in surgical treatment of complex head and neck tumor

目的 探讨多学科合作外科处理头颈部复杂肿瘤的经验 ,以提高临床治疗效果。方法 回顾分析 1995年 4月～ 2 0 0 0年 6月与神经外科等其他学科合作 ,外科治疗头颈肿瘤累及颅底、颅内或颈椎管内等相邻部位结构的 2 2例患者临床资料。 结果 本组良性肿瘤患者 14例 ,获得肿瘤全切除 ;恶性肿瘤 8例 ,5例达到肉眼全切除 ,3例得到减状治疗 ;无手术死亡和严重并发症病例。良性肿瘤患者平均随诊 3年 ,肿瘤复发率 2 1 4 % (3/14 ) ,均为外院术后再治者。 8例恶性肿瘤患者随诊 1年 ,3例无复发 ,2例带瘤生存 ,3例死亡。 结论 对于复杂的头颈部肿瘤的外科治疗 ,应提倡多学科间的密切合作 。

Objective To study the multidisciplinary cooperation in surgical treatment of complex head and neck tumors. Methods The data from 22 patients with head and neck tumors who had been given neurosurgery, orthopaedic surgery, plastic and otological surgery were reviewed from April 1995 to June 2000. Results Eight of 14 cases of benign tumors had been resected radical; 5 of 8 malignant cases had been moval of macroscopic tumor and 3 received operation for symptom improvement. No surgical death and serious complications were observed. The recurrence rate benign tumors was 21 4%(3/14), all of which were operated on at other hospitals. Follow up for a year showed that in 8 cases of malignant tumors, 3 were tumor free, 2 survived with tumor, and 3 died. Conclusions To obtain good outcome in treatment for patients with complex tumors of head and neck, cooperative efforts between multidisciplinary surgery are necessary.