李天心 魏林 金国萍 余树观 李天心(河南省肿瘤医院 郑州，450003)；魏林(河南省肿瘤医院 郑州，450003)；金国萍(河南省肿瘤医院 郑州，450003)；余树观(河南省肿瘤医院 郑州，450003) 临床耳鼻咽喉科杂志 2000 0 14 2


    关键词：上颌窦肿瘤；放射治疗；药物疗法；手术治疗 期刊 lcebyhkzz 0 临床研究 fur -->


    

摘 要 ：目的 ：探讨化疗、放疗与手术联合治疗晚期上颌窦癌的可行性。方法 ：术前放疗和手术61例，术前化疗和手术60例。放疗采用直线加速器和(或)⁶⁰ Co，剂量为40～60Gy。化疗采用DOP(顺氯氨铂加长春新碱加平阳霉素)方案。结果 ：放疗和手术组3年和5年生存率分别为36.1%和31.1%；化疗和手术组分别为35%和30%。结论 ：术前化疗加手术是治疗晚期上颌窦癌的可行性方法，且化疗能反复应用，提高手术效果。

Combined therapy for 121 cases of advanced cancer of th e maxillary sinus

LI Tian-xin WEI Lin JING Guo-ping YU Shu-guan

    (Henan Tumour Hospital,Zhengzhou 450003)

Abstract ：Objective ：To investigate the posibllity of combined therapy (chemotherapy+surgery)for advanced cancer of maxillary sin us.Method ：Pre-operative radiation+surgery for 61 cases an d preoperative chemotherapy+operation for 60 cases were performed.Radiotherapy referred to the use of linear accelerator and/or 60 Co with the dosage of 40～60 Gy.Chemotherapy referred to the administration of CDDP.VCR,and pingyangmycin.Result ：The survival rate observed in the 61 cases treated wit h radiation+operation was 36.1%;while the other 60 cases treated by chenothe rapy+operation had a survival rate of 31.1%.Conclusion ：The better way to treat advanced cancer of the maxillary simus is pre-operati ve chematherapy+surgery.In addition,repeated application of chemotherapy can rai se the effect of surgical treatment.

    Key words ：Maxillary sinus neoplasms Radiotherapy Drug t herapy Surgical treatment

晚期上颌窦癌最易侵犯周围组织和器官 ......