鼻咽癌颈N<sub>3</sub>淋巴结转移的纵隔预防性放射治疗

鼻咽癌颈N₃淋巴结转移的纵隔预防性放射治疗

摘要: 本文报告1991年1月～1992年2月收治鼻咽癌颈N₃淋巴结转移41例，随机分成加纵隔预防性照射21例(预防组)，常规照射20例(对照组)，预防组纵隔照射DT50GY/5周，观察预防组远处转移控制率。随访1年半至2年，预防组远处转移率28.6%(6/21)，对照组45%(9/20)，经统计学处理两组无显著性差异(P>0.05)。

Abstract: From January 1991 to February 1992, 41 patients with N3 cervical lymph node metastasis of nasopharyngeal carcinoma were treated.The patients were randomized into mediastinal preventive radiation(prevention group)(21 patients)and coventionl radiation(contral group)(20 patients).Mediastinal preventive radiation treatment was 50Gy/5wk.At 1. 5 to 2 year's followup survey,the rate of distance metastasis in two groups were 28. 6% (6/12) and 45%(9/20)(P0.05).There was no statistical significance in the differences between these two groups.