【摘要】 目的探讨提高鼻腔腺样囊性癌疗效的手术方法。方法对6例原发于鼻腔的腺样囊性癌Ⅰ期患者分别进行肉眼下手术与鼻内镜下手术,对6例患者的治疗及预后进行分析。结果2例在肉眼下行扩大手术者,术后均行放疗,1例另加术后化疗,此2例仍分别于术后2年和2年半复发,最终因颅部转移而死亡。另外4例均在鼻内镜下行扩大手术,术后除放疗外,均未化疗,随访2~5年未见复发。结论鼻内镜的运用大大提高了手术切除的彻底性,同时鼻内镜对术前病变范围的判断、分期及术后复查起着重要的作用。更多还原

【Abstract】 Objective To discuss the surgical methods of nasal adenoid cystic carcinoma(NACC).Methods The clinical data of 6 patients with primary nasal adenoid cystic carcinoma treated by general surgery or nasal endoscopic surgey were retrospectively analyzed.Results 2 patients treated by both general surgery and radiation,one of them received additional chemotherapy.The tumor of the 2 patients were recurred 24 months and 28 months post operation respectively.They both died of craniocerebral metastases.The other 4 patients were all treated by nasal endoscopic surgey and radiation.After 2～5 years’ followed-up,they all survived without tumor.Conclusion The wide-ranging surgical resection of the first operation is the key to enhance the survival rates of patients with nasal adenoid cystic carcinoma.Nasal endoscopic surgey is the best method to perform the wide-ranging surgical resection.Nasal endoscopy is important to estimate the range and staging of tumour before operation,and is good method for examination after operation.更多还原