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目的 :探讨硬腭进路在中晚期鼻咽癌综合治疗中的作用。方法 :通过改进硬腭切口 ,保护腭大动脉 ,扩大鼻咽癌原发灶切除范围。术后给予常规化疗和预防性放疗。结果 :12例患者术后切口均Ⅰ期愈合。随访 6个月～ 5年均无复发 ,无腭瘘 ,语言及吞咽功能正常 ,未出现放射性脑病等。结论 :改进硬腭切口 ,可扩大鼻咽癌原发灶的切除范围 ,且不影响切口的愈合 ;术后给予化疗及预防性放疗 ,可获得良好的治疗效果
Objective: To explore the role of hard palate in the comprehensive treatment of advanced nasopharyngeal carcinoma. Methods: By improving the hard palate incision, protecting the palatal artery, expanding the scope of primary resection of nasopharyngeal carcinoma. Postoperative conventional chemotherapy and preventive radiotherapy. Results: All the 12 cases were healed by first intention. Follow-up 6 months to 5 years no recurrence, no palatal fistula, language and swallowing function is normal, no radiation encephalopathy and so on. Conclusion: The improvement of the hard palate incision can expand the scope of primary resection of nasopharyngeal carcinoma, and does not affect the incision healing; postoperative chemotherapy and preventive radiotherapy, can obtain good therapeutic effect