摘要
对同期５１例保留喉功能和２９例不保留喉功能的下咽癌手术患者进行了回顾性对比分析。５１例保留喉功能者严重并发症发生率为２３．５％，３６例恢复了喉全功能（７０．６％），喉部分功能恢复者１５例（２９．４％）。出院时５０例能经口进食，吞咽成功率９８．０％。术后平均经口进食时间为２９天（１０～１５０天），术后平均住院４０天（１６～１６０天），３年和５年生存率分别为５８．８％（３０／５１）和４９．０％（２５／５１）。与不保留喉功能的下咽癌手术组相比较，在严重并发症发生率、吞咽成功率、术后经口进食时间、住院时间和５年生存率等方面差异无显著性（Ｐ＞０．０５）。
Fifty-one caseso fhypopharyngeal carcinoma treated withconservative hypopharyn-gectomy(CH) and 29 cases of total larygectomy hypopharyngectomy(the Control)were retrospectively analyzed. In patients with CH,laryngeal function restored completely in 36 cases,and partially in 15.Severe complication rate(including graft necrosis, fistulae and stricture) was 23.5%(12/51 ).Success-ful deglutition rate was 98%; mean resumption of oral intake was 29 days(10～150 days)and mean hospitalization 40 days(16～160 days).Three-year survival rate was 58.8%and 5-year survival rate 49.0%(25/51).No significant difference was found between the patients with CH and the control in the aspects of severe complication rate, successful deglutition rate , mean resumption of oral intake,mean hospitalization and 5-year stirvival rate (P>0.05)。
出处
《中华耳鼻咽喉科杂志》
CSCD
1995年第2期105-107,共3页
Chinese Journal of Otorhinolaryngology
关键词
咽肿瘤
癌
外科手术
喉功能
Pharyngeal neoplasn,Surgery ,operative
