摘要
目的回顾21例喉癌患者的手术治疗情况,对环状软骨上喉部分切除术进行探讨.方法 1999～2004年行喉次全切除环-舌骨固定术或环-舌骨-会厌固定术21例,声门上型8例(T2N0 1例、T2N1 2例、T3N0 2例、T3N1 3例),声门型13例(T2N0 2例、T2N1 4例、T3N0 5例、T3N1 2例).其中行环-舌骨-会厌固定术12例,行环-舌骨固定术9例.结果术后所有患者均拔除气管套管,拔管率100%;所有患者均在术后第13～42天(平均26d)拔除鼻饲管.术后的发音情况也令人满意.术后随访1～6年无局部复发.结论环状软骨上喉部分切除术适于部分声门上型和声门型喉癌,在行喉次全切除时能保留喉功能.
Objective To investigate curative effect of the 21 laryngeal cancer patients who suffered Supracficoid partial laryngectomy retrospectively. Methods 21 patients （8 supraglottic, 13 transglottic carcinomas） were suffered subtotal laryngectomy cficohyoidopexy or cricohyoidoepiglottopexy from 1999 to 2004, among them 12 patients suffered cricohyoidoepiglottopexy, 9 of them suffered cficohyoidopexy. Results With a satisfied sound effect,all of the patients extract trachea cannula after operation. And there is no recurrence of primary tumor after 1-6 years of follow up. Conclusion Supracricoid partial laryngectomy can treat part of the supraglottic and transglottic carcinomas with the preservation of the laryngeal function.
出处
《四川医学》
CAS
2005年第12期1371-1372,共2页
Sichuan Medical Journal
