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我们于1973年9月至1982年9月间因放疗失败进行手术治疗晚期喉癌11例。术后2例咽瘘,经修补术后愈合,其余9例创口Ⅰ期愈合。随诊到1983年7月止,生存6例,死亡5例,其中1例死于肝硬化、腹水。探讨喉癌病人于放疗后手术创口能否愈合,对扩大喉癌治疗途径具有一定意义。一、剂量问题:术前放疗剂量一般4周内给组织量4000rad,休息2周后手术,不影响创口愈合。我们术前用组织量5600~7600rad照射8例,
From September 1973 to September 1982, we performed surgery for 11 cases of advanced laryngeal cancer due to failure of radiotherapy. Two cases of pharyngeal fistula recovered after healing, and the remaining 9 cases healed at the first stage. Followed up to July 1983, 6 patients survived, and 5 died. One patient died of liver cirrhosis and ascites. To explore whether patients with laryngeal cancer can heal wounds after radiotherapy has a certain significance in expanding the treatment of laryngeal cancer. First, the dose problem: Preoperative radiation dose is generally within 4 weeks to the organization 4000rad, rest 2 weeks after surgery, does not affect wound healing. We used 8600 tissue radiation doses before surgery to illuminate 8 cases.