摘要：

鼻咽癌是我国最为常见的头颈部恶性肿瘤，放射治疗伴或不伴药物化疗为首选治疗方法，放射治疗后局部复发率为 10% ~ 40%。鉴于传统开放入路和经鼻内镜手术无再次放射治疗带来的严重并发症，尤其是经鼻内镜手术的可直视下操作、术野清晰、手术创伤小、住院时间短、不影响面部外观等优点，使其正在成为复发性鼻咽癌的重要替代治疗方式。

关键词: 鼻咽肿瘤, 复发, 内窥镜, 外科手术, 放射疗法, 综述

Abstract:

Nasopharyngeal carcinoma (NPC) is one of the most common head and neck malignant tumors in China. Radiotherapy with or without concurrent chemotherapy is the first treatment option. The local recurrence rate of NPC after radiotherapy ranged from 10% to 40%. Re-irradiation could cause many serious complications for local recurrent or residual NPC after radiotherapy. Therefore, traditional open approach surgery and endoscopic surgery are becoming important alternative treatment options for locally recurrent NPC, especially the latter has such advantages as operating under direct vision, clear field of view, minimal invasion, short hospitalization and not affecting facial appearance.

Key words: Nasopharyngeal neoplasms, Recurrence, Endoscopes, Surgical procedures, operative, Radiotherapy, Review