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[目的]鼻咽癌治疗后复发发生的部位,为指导临床治疗,减少局部复发提供依据。[方法]2001年1月～2001年12月,有1102例鼻咽癌在我院治疗,其中111例复发。按复发病灶侵犯的范围分为单纯鼻咽腔、鼻咽+咽旁、鼻咽+颅底、单纯颅底、鼻咽+咽旁+颅底、鼻腔或+筛窦或+上颌窦和其他部位共7组进行统计,分别计算各组的例数和百分比,分析可能的原因。[结果]1、3、5年复发的病人分别占全部复发病人的12.6%、55.9%、88.3%。单纯鼻咽腔复发占7.8%,鼻咽+咽旁复发占21.6%,鼻咽+颅底复发占39.2%,单纯颅底复发占5.9%,鼻咽+咽旁+颅底复发占13.7%,鼻腔或+筛窦或+上颌窦复发占6.9%,其他占4.9%。[结论]鼻咽癌放疗后以鼻咽腔和鼻咽腔合并颅底和/或咽旁间隙复发较多见,提示鼻咽癌的复发与放射敏感性有关。
[Objective] The site of recurrence after nasopharyngeal carcinoma treatment provides the basis for guiding the clinical treatment and reducing the local recurrence. [Method] From January 2001 to December 2001, 1102 cases of nasopharyngeal carcinoma were treated in our hospital, of which 111 cases relapsed. According to the scope of recidivism lesions were divided into simple nasopharyngeal cavity, nasopharynx + parapharyngeal, nasopharyngeal skull base, simple skull base, nasopharynx + parapharyngeal skull base, nasal or + ethmoid sinus or + maxillary sinus and other parts A total of 7 groups of statistics, respectively, the number of cases and percentage of each group to analyze the possible causes. [Results] The recurrences in 1, 3 and 5 years accounted for 12.6%, 55.9% and 88.3% of the total recurrent patients, respectively. Nasopharyngeal and parapharyngeal recurrence accounted for 21.6%, nasopharyngeal and skull base recurrence accounted for 39.2%, simple skull base recurrence accounted for 5.9%, nasopharyngeal and parapharyngeal + skull base recurrence accounted for 13.7% Nasal or + ethmoid or + maxillary sinus recurrence accounted for 6.9%, others accounted for 4.9%. [Conclusion] The recurrence of nasopharyngeal and nasopharyngeal space with cranial base and / or parapharyngeal space recurrence after radiotherapy of nasopharyngeal carcinoma is more common, which suggests that relapse of nasopharyngeal carcinoma is related to radiosensitivity.