203例鼻咽癌的预后与死亡因素分析  

Analysis of the Prognosis and the Causes of Death in 203 Cases withNasopharyngeal Carcinoma

作　　者：崔书祥[1] 王迎选[1] 赵路军[1] 孙洪森[1] 陈国雄[1] 

机构地区：[1]北京解放军总医院放疗科

出　　处：《军医进修学院学报》1995年第3期178-180,共3页Academic Journal of Pla Postgraduate Medical School

摘　　要：１９８１年至１９９２年收治鼻咽癌２０３例，男１６０例，女４３例，平均年龄４７岁。Ⅰ期７例，ⅡＩ期８４例，Ⅲ期７２例，Ⅳａ期３４例，Ⅵｂ期６例。总的５年生存率为５１．４％（７２／１４０）。各期５年生存率：Ⅰ期１００％，Ⅱ期７６．２％，Ⅲ期３６．６％，Ⅳａ期１６％，Ⅳ６期０。血行转移为主要死亡原因，占死亡病例８１％（４２／５２）。颈部淋巴结转移程度与血行转移有直接关系，Ｎ３组血行转移率高达８６．９％（２０／２３），应联合应用化疗以降低血行转移率。治疗后鼻咽部局部复发率为２１．８％（３８／１７４），第二程放疗局部控制率为２８．９％（１１／３８）。Between 1981 to 1992 we treated 203 patients ( 160 males and 43 female, mean age47 years) with nasopharyngeal carcinoma by radiotherapy. Stage distribution were Ⅰ 7,Ⅱ 84,Ⅲ72, Ⅳ a34, and Ⅳb 6. The actuarial five year survivat rate of all patients were 51.4%(72/140), for stage Ⅰ it was 100% and stage Ⅱ 76.2%, stage Ⅲ36.6%, stage Ⅳa 16%, and nonewas survival for the patients of stage Ⅳb, The main cause of death was hematogenous metastasis(81%, 42/52). The staus of cervical lymphonode metastasis was related with blood spreading.The rate of blood spreading for group N3 was 86.9%(20/23). The combined treatment with che-motherapy could decrease the hematogenous metastasis rate. The local recurrence after treatmentwas 2l. 8%(38/174), and the local control rate for the second course of treatment was 28.9%(11/38).

关 键 词：鼻咽肿瘤 预后 死亡率 治疗 

分 类 号：R739.63[医药卫生—肿瘤]