累及眶的上颌窦鳞癌视觉功能保存率的多中心回顾性研究

来源 :中国口腔颌面外科杂志 | 被引量 : 0次 | 上传用户:walker1116_2009
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该回顾性分析旨在评估不同治疗方式对侵犯眶的上颌窦癌手术后视力及生存率的影响。87例患者按治疗方式不同进行随机分组,对每一治疗组的视觉功能保存率及生存率进行评估。整块切除组、传统手术组、超选择动脉内插管化疗组和放疗组、放化疗组的5年生存率分别为70%、35%、49%和31%;视觉功能保存率分别为15%、27%、30%和17%。整块切除组中行或不行眶内容物剜除术者,5年生存率无显著差异(72%∶71%,P=0.9321)。作者认为,整块切 The purpose of this retrospective analysis was to evaluate the effect of different treatment modalities on the visual acuity and survival rate of orbital sinus cancer after surgery. Eighty-seven patients were randomized to different treatment modalities, and the visual function preservation rate and survival rate of each treatment group were evaluated. The 5-year survival rates of the resection group, traditional surgery group, superselective arterial intubation chemotherapy group, radiotherapy group and radiotherapy and chemotherapy group were 70%, 35%, 49% and 31%, respectively. The visual preservation rates were 15 %, 27%, 30% and 17%. There was no significant difference in 5-year survival between those with or without orbital debridement in the resection group (72% vs. 71%, P = 0.9321). The author believes that the whole piece cut
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