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口咽恶性肿瘤占全身恶性肿瘤的1.3%,占头颈恶性肿瘤的4.2%。由于其解剖隐蔽,毗邻关系复杂,生理功能重要,故治疗甚为棘手。口咽癌的治疗曾一度强调以放射治疗为主,认为外科治疗相当困难,致使众多的晚期口咽癌病人得不到合理的治疗,生存率很低,生存质量较差。近年来,医疗技术不断改进,晚期口咽癌手术治疗和综合治疗水平正逐步提高。现将我们经咽侧—口腔联合进路手术治疗晚期口咽癌的初步经验总结报道如下。
Oropharyngeal malignancies account for 1.3% of all malignant tumors and 4.2% of head and neck malignancies. Because its anatomy is hidden, the relationship between the adjacent is complex and the physiological function is important, the treatment is very difficult. The treatment of oropharyngeal cancer once emphasized radiotherapy as the main treatment and considered that surgical treatment is very difficult. As a result, many patients with advanced oropharyngeal cancer do not receive reasonable treatment. The survival rate is very low and the quality of life is poor. In recent years, medical technology has continuously improved, and advanced surgical treatment and comprehensive treatment of oropharyngeal cancer is gradually increasing. Now we summarize the preliminary experience of the treatment of advanced oropharyngeal cancer through the pharyngeal-oral combined approach.