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1952～1967年间共治疗上颌窦鳞状细胞癌109例,其中1952～1961年间(前组)治疗54例,1962～1967年间(后组)治疗55例。前组54例中手术切除14例,放射(皆为X线)治疗26例,手术切除合并术后放疗14例,5年健在分别为1、3、5例,总5年健在率为16.6％。后组55例皆用术前钴~(60)放射综合手术切除(全上颌骨切除47例,大部切除8例),无手术死亡,术后皆无开口困难,5年健在率为52％。提倡在不影响手术彻底性的前提下,争取保留眼球,全上颌骨切除术后,用皮片修复眶下板缺损,经10(1/2)～15年观察,支持眼球功能良好。对手术后复发,应积极争取手术切除。
Between 1952 and 1967, 109 cases of sinusoidal cell carcinoma of the maxillary sinus were treated, of which 54 cases were treated between 1952 and 1961 (the former group) and 55 cases were treated between the 1962 and the 1967 (post-group). In the former group, 54 cases were surgically removed in 14 cases, radiation (all X-rays) were treated in 26 cases, and surgical resection and postoperative radiotherapy were performed in 14 cases. The 5-year survival rate was 1, 3, and 5 cases respectively, and the total 5-year survival rate was 16.6%. . In the latter group, 55 cases were all treated with preoperative cobalt 60 radiation (47 cases with total maxillary resection and 8 cases with major resection). No operative death occurred. No difficulty in opening was observed after operation. The 5-year survival rate was 52%. . Advocates to preserve eyeballs without affecting the thoroughness of surgery. After total maxillary resection, the submental plate defect is repaired with a skin flap. After 10 (1/2) to 15 years of observation, it supports eyeball function. After the recurrence of the opponent, surgical resection should be actively pursued.