| 声门上型喉癌N_0术前放疗的随机对照研究 |
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| 引用本文： | 唐平章,张彬,徐国镇,祁永发,李庆宏.声门上型喉癌N_0术前放疗的随机对照研究[J].中华耳鼻咽喉头颈外科杂志,1995(4). |
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| 作者姓名： | 唐平章 张彬 徐国镇 祁永发 李庆宏 |
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| 作者单位： | 中国医学科学院肿瘤医院头颈外科，中国医学科学院肿瘤医院放疗科 |
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| 摘 要： | 声门上型喉癌临床Ｎ＿０１００例，随机对照研究术前放疗４０Ｇｙ对控制颈部淋巴结隐匿性转移的作用。放疗加手术（综合治疗组）４６例，单纯手术５４例，随诊３～１２年。综合治疗组颈部复发率为１５％（７／４６），单纯手术２６％（１４／５４），但无统计学意义，提示４０Ｇｙ的剂量可能对颈部转移的控制不够。放疗加手术组Ｔ＿４颈部复发率３３％，比Ｔ＿（１～３）的３．６％明显增高。因此，建议Ｔ＿４声门上型喉癌应常规做一侧传统的根治性颈清扫术（ＲＮＤ），增加术前或术后放疗剂量到５０Ｇｙ。
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| 关 键 词： | 喉肿瘤，癌，鳞状细胞，喉切除术，放射疗法 |
Pre-operative Radiotherapy for N_0 Supraglottic Carcinoma:a Randomized Study |
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| Tang Pingzhang,Zhang Bin,Xu Guozhen,et al..Pre-operative Radiotherapy for N_0 Supraglottic Carcinoma:a Randomized Study[J].Chinese JOurnal of Otorhinolaryngology Head and Neck Surgery,1995(4). |
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| Authors: | Tang Pingzhang Zhang Bin Xu Guozhen |
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| Abstract: | A randomized study on 100 patients of No supraglottic squamous cell carcinoma with at least 3 years of follow-up was performed. Surgery alone was used in 56 patients,and combined therapy in 46 patients.The neck failure occurred in 14(26%)patients and 7(15%)patients respectively, there was no statistically difference(P= 0. 287).Neck failure was higher in T_4 stage,therefore, higher dose of radiation and neck dessection should be considered for T_4 supraglottic carcinoma for controlling of regional reeurrence. |
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| Keywords: | Laryngeal neoplasms Carcinoma squamous cell Laryngectomy Radiotherapy |
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