颈淋巴结清扫术治疗鼻咽癌根治性放疗后颈部残留或复发  

Selective or radical neck dissection for recurrent or residual lymph node after radiotherapy in patients with nasopharyngeal carcinoma

作　　者：叶飞[1,2] 傅敏仪[1,2] 陈国平[1,2] 徐建慧[1,2] 康红健[1,2] 

机构地区：[1]中山大学附属中山医院 [2]中山市人民医院耳鼻咽喉头颈外科,广东中山528403

出　　处：《中国耳鼻咽喉颅底外科杂志》2015年第3期217-219,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

基　　金：广东中山市科技计划项目(项目编号:20113A079)

摘　　要：目的探讨颈淋巴结清扫术治疗鼻咽癌患者放疗后颈部淋巴结残留或复发灶的疗效。方法回顾性分析采用颈淋巴结清扫术治疗32例鼻咽癌放疗后颈淋巴结残留和复发的患者资料,应用Kaplan-Meier法进行生存率分析。结果 23例行分区性根治性颈淋巴结清扫,9例行全颈根治性颈淋巴结清扫,术后随访患者3、5年总生存率分别为68.8%和46.8%。结论颈淋巴结清扫术治疗鼻咽癌放疗后颈淋巴结残留和复发灶,能有效提高患者生存率。Objective To investigate the effect of selective or radical neck dissection for recurrent or residual lymph node after radiotherapy in patients with nasopharyngeal carcinoma（ NPC）. Methods 32 NPC patients with recurrent or residual lymph node after radiotherapy received selective or radical neck dissection. Their clinical data were analyzed retrospectively. The cumulative survival rate was analyzed by Kaplan-Meier method. Results Selective and radical neck dissections were performed in 23 and 9 patients respectively. The 3 and 5 year survival rates were 68. 8% and 40. 2%respectively. Conclusion Selective or radical neck dissection can improve survival rate of patients with nasopharyngeal carcinoma who have residual or recurrent cervical lymph nodes after radiotherapy.

关 键 词：鼻咽癌 残留和复发 颈淋巴结清扫 

分 类 号：R739.63[医药卫生—肿瘤]