鼻咽血管纤维瘤放疗加手术与单纯手术疗效比较  

The Comparison of the Curative Effect between Radiotherapy following Surgery and Simple Surgery in Nasopharyngeal Fibroangioma

作　　者：蔡刚[1] 张端和[1] 

机构地区：[1]广州医学院港湾医院耳鼻咽喉科,广东广州510700

出　　处：《广州医学院学报》2009年第4期30-31,共2页Academic Journal of Guangzhou Medical College

摘　　要：目的:探讨鼻咽纤维血管瘤术前放疗对减少术中出血和术后复发的作用。方法:33例患者中,单纯手术者21例,12例手术前两周行^(60)Co放射5～7 d,放射量10～20 Gy。结果:21例单纯手术者,术中出血250～3600 mL,平均1 100 mL,术后复发4例。而12例放疗加手术者,术中出血200～800 mL,平均450 mL,术后无复发。术中出血较单纯手术者显著减少(t=1.97,P<0.01)。结论:放疗后切除鼻咽纤维瘤,有利于减少术中出血和术后复发。Objective： To research the effect of making radiotherapy before operation in nasopharyngeal fibroangioma to decrease bleeding in operation. Methods： There were 33 patients treated,21 cases among them were made routine operative treatment without radiotherapy, and the other 12 cases were treated with radiotherapy before operation,the radiotherapy of 60Co was used for 5 -7 d and the quantum was 10 -20 Gy. Results： In 21 cases raked operation without radiotherapy there have 250 -3600 mL blood loss, the average was 1100 mL, and 4 cases recurred, While in the other 12 patients taked radiotherapy before operation its blood lost only 200 -800 mL, the average was 450 mL,and no recurrence. The blood loss of the latter cases was much less than that of the before cases. There are significant differences in blood loss and recurrence in deferent groups（ t = 1.97,P 〈 0.01 ）. Conclusion： Radiotherapy before operation is effective in preventing the surgery bleeding and recurrence of nasopharyngeal fibroangioma.

关 键 词：鼻咽血管纤维瘤 放疗 手术 

分 类 号：R846[医药卫生—航空、航天与航海医学]