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作者对鼻和鼻窦恶性肿瘤患者采用了下述综合疗法,患者经确诊入院后,先行4,000~5,000r放疗,经2~3周,如肿瘤消失在75~80%以上,则继续放疗至6,500~7,000 r,然后对患者定期复查。此法适用于Ⅰ~Ⅱ期或低分化对放射线敏感的肿瘤。如经放疗后肿瘤消失在75%以下、且有手术指征的患者,于放疗后2~3周行手术根除,术中将预先配制好的抗肿瘤药液(环磷酸胺、噻替派、(?)等)灌洗创面,手术结束时再用此药液和抗生素及三溴酚铋溶液浸透纱条填塞术腔,经5~7天行第一次更换。若肿瘤范围广,已侵犯到筛窦、眼眶和上颌骨后间隙者,手术时势必引起瘤细胞向周围软组织散播,对这类患者,于术后8~12天开始追加3,500~
The authors adopted the following comprehensive therapy for patients with malignant tumors of the nose and sinuses. After the patient was diagnosed and admitted to the hospital, he was first treated with radiotherapy at 4,000 to 5,000 hrs. After 2 to 3 weeks, if the tumor disappeared at 75 to 80%, radiotherapy was continued to 6,500 to 7,000 r, then periodically review the patient. This method is applicable to stage I-II or poorly differentiated radiation-sensitive tumors. For patients whose tumors have disappeared below 75% after radiotherapy and have surgical indications, they should be eradicated 2 to 3 weeks after radiotherapy and pre-made antitumor liquids (cyclic amine phosphate, thiotepa, (?) etc.) The wound was lavaged. At the end of the operation, the liquid and the antibiotic and tribromophenolphthalein solution were used to soak the gauze packing chamber. The first change was performed after 5 to 7 days. If the tumor has a wide range and has invaded the ethmoid sinus, eyelid, and posterior maxillary space, it is bound to cause the tumor cells to spread to surrounding soft tissues. For these patients, 3,500 to 3 to 8 days after surgery