论文部分内容阅读
目的回顾总结２０年间眼眶泪腺腺样囊性癌手术联合放疗的治疗效果。方法对２１例腺样囊性癌手术联合放疗后进行随访分析，女性１２例，男性９例；年龄１５～６１岁，平均３７．５岁。放射治疗采取６０Ｃｏ，直线加速器（电子、光子），γ刀及后装近距离治疗＋外照射，放射野为正位、侧位或斜侧位。结果１０例随访３年无复发，其中６例随访５年无复发，１例１０年以上无复发，平均随访３年。放疗的并发症：皮疹、脱发秃睫、放射性白内障。结论手术联合放射治疗是恶性肿瘤综合治疗的重要手段之一。采用包括放射治疗在内的综合治疗，可提高患者的治愈率，保存患病器官的功能，改善生存质量。
Objective To review the treatment effect of surgery combined with radiotherapy for orbital lacrimal gland adenoid cystic carcinoma in 20 years. Methods Twenty-one cases of adenoid cystic carcinoma combined with radiotherapy were followed up. There were 12 females and 9 males, aged from 15 to 61 years (average 37.5 years). Radiation therapy to take 60Co, linear accelerator (electron, photon), γ knife and after the installation of brachytherapy + external radiation, the radiation field is positive, lateral or oblique lateral position. Results 10 cases were followed up for 3 years without recurrence, 6 cases were followed up for 5 years without recurrence, 1 case had no recurrence for more than 10 years, the average follow-up was 3 years. Radiotherapy complications: rash, alopecia areata, radiation cataract. Conclusion Surgery combined with radiotherapy is an important means of comprehensive treatment of malignant tumors. The use of comprehensive treatment including radiation therapy can improve the cure rate of patients, preserve the function of diseased organs and improve the quality of life.