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目的:探讨扁桃体癌手术加放疗综合治疗的方法及其疗效。方法:我科1987～1999年对34例扁桃体癌进行手术加放疗综合治疗。按1997年国际抗癌联盟分期标准:Ⅰ期5例,Ⅱ期6例,Ⅲ期9例,Ⅳ期14例。根据病变情况不同,采用经口入路、下颌骨切开外旋入路、经舌骨入路等不同的手术入路切除肿瘤,以肌皮瓣、舌瓣、软腭黏膜瓣修复组织缺损,所有患者术后行放疗。结果:34例患者5年生存率为68.8%,局部控制率分别为76.4%。患者咀嚼、吞咽、语言功能恢复良好。结论:扁桃体癌的手术加放疗综合治疗可明显提高扁桃体癌患者的生存率和生活质量。
Objective: To explore the method and efficacy of comprehensive treatment of tonsil cancer combined with radiotherapy. Methods: From 1987 to 1999, 34 cases of tonsil cancer were treated with radiotherapy combined with radiotherapy. According to the 1997 International Union Against Cancer staging criteria: 5 cases of stage Ⅰ, 6 cases of stage Ⅱ, 9 cases of stage Ⅲ, 14 cases of stage Ⅳ. According to the different pathological changes, using oral approach, mandibular incisive circumcision, the different hypostatic approach through the hyoid tract resection of the tumor, with myocutaneous flap, flap, soft palate mucosal flap repair tissue defects, all Patients underwent radiotherapy. Results: The 5-year survival rate of 34 patients was 68.8%, and the local control rates were 76.4%. Patients chewing, swallowing, language function recovered well. Conclusion: Tonsil cancer surgery and radiotherapy combined therapy can significantly improve the survival rate and quality of life of patients with tonsillar cancer.