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目的 :研究鼻咽癌患者死亡因素。方法 :对 1974～ 1990年收治的 6 77例鼻咽癌死亡患者的临床资料进行系统分析。结果 :本组患者男女之比为 4 .3∶1,4 0～ 6 0岁年龄组最多 ,以低分化鳞癌为主 ,Ⅲ Ⅳ期病例占81.3% ;放疗与化疗联合治疗组存活时间较单纯放疗组长 ,5 4 .9%死于远处转移 ,2 0 .9%死于局部或区域淋巴结未控制。结论 :鼻咽癌主要死因为远处转移、局部或区域淋巴结未控制 ,化疗与放疗联合治疗有可能延长生存时间 ,降低死亡率
Objective: To study the death factors of patients with nasopharyngeal carcinoma. Methods: Sixty-seven patients with nasopharyngeal carcinoma who died from 1974 to 1990 were analyzed systematically. Results: The ratio of male to female in this group was the highest in 4: 3: 1, 4 0 ~ 60 years old group, mainly in poorly differentiated squamous cell carcinoma, and 81.3% in stage Ⅲ Ⅳ. The survival time of combined radiotherapy and chemotherapy was Radiotherapy group leader, 54.9% died of distant metastasis, 20.9% died of uncontrolled local or regional lymph nodes. Conclusion: The main cause of death of nasopharyngeal carcinoma is distant metastasis, and local or regional lymph nodes are not controlled. Combined treatment of chemotherapy and radiotherapy may prolong the survival time and reduce the mortality rate