内镜下复发性鼻咽癌手术治疗的疗效  

Efficacy of endoscopic surgical management for recurrent nasopharyngeal carcinoma

作　　者：文译辉[1] 何子诚 李健[1] WEN Yihui;HE Zicheng;LI Jian(Department of Otorhinolaryngology Head and Neck Surgery,the First Affiliated Hospital of Sun Yat-sen University,the Institute of Otorhinolaryngology of Sun Yat-sen University,Guangzhou Key Laboratory of Otorhinolaryngology Head and Neck Surgery,Guangzhou,510080,China)

机构地区：[1]中山大学附属第一医院耳鼻咽喉科医院、中山大学耳鼻咽喉科研究所、广州市耳鼻咽喉头颈外科重点实验室,广州510080

出　　处：《临床耳鼻咽喉头颈外科杂志》2024年第8期762-768,共7页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：广州市临床重大技术项目(No:2023P-ZD06)。

摘　　要：相比于再程放疗或者开放式手术,内镜手术治疗复发性鼻咽癌有着更优的疗效,不仅提高总体生存率,还减少了严重并发症,提高生活质量,节约医疗成本。随着现代化手术设备器械的进步、颅底领域解剖研究的深入、外科医生素质的提高以及多学科团队协作的发展,内镜手术的安全性、肿瘤完整切除率也将随之提高,手术适应证在进一步扩大,更多的复发性鼻咽癌患者获益于内镜微创手术。本文就复发性鼻咽癌内镜手术治疗的疗效进行综述,进而为复发性鼻咽癌的临床治疗策略选择提供思路。Compared with re-radiotherapy or open surgery,endoscopic surgery for recurrent nasopharyngeal carcinoma has a better effect,which not only improves the overall survival rate,but also reduces serious complications,improves the quality of life and saves medical costs.With the advancement of modern surgical equipment and instruments,the deepening of anatomical research in the field of skull base,the improvement of surgical techniques and the development of multidisciplinary teamwork,the safety of endoscopic surgery and the rate of complete tumor resection will also increase.The indications for surgery are further expanded,and more patients with recurrent nasopharyngeal carcinoma benefit from endoscopic minimally invasive surgery.This article reviews the efficacy of endoscopic surgery for recurrent nasopharyngeal carcinoma,and then provides insights for the selection of clinical treatment strategies for recurrent nasopharyngeal carcinoma.

关 键 词：鼻咽肿瘤 复发 内镜手术 

分 类 号：R739.63[医药卫生—肿瘤]