摘要
目的探讨Ｍａｊｅｒ－Ｐｉｑｕｅｔ手术治疗声门型喉癌的远期疗效。方法对１９９０年１０月～１９９５年２月间手术的３２例病例进行了临床随访。其中Ｔ１Ｎ０Ｍ０２１例，Ｔ１Ｎ１Ｍ０３例，Ｔ２Ｎ０Ｍ０５例，Ｔ２Ｎ１Ｍ０，Ｔ３Ｎ０Ｍ０和Ｔ３Ｎ１Ｍ０各１例。结果Ｔ１病例的２、３及５年生存率分别为９５．８％，９３．７％和９０．９％，Ｔ２病例的２、３及５年生存率分别为１００％，８３．３％和６０％。拔管率为９６．９％。所有患者均经口进食。一经拔管均能发音。其中１９９４年以后手术的８例行改进术式，发音质量较以前有所提高。结论Ｍａｊｅｒ－Ｐｉｑｕｅｔ手术是一种治疗Ｔ１，Ｔ２和部分Ｔ３声门型喉癌有效的术式，而且能较满意地保留喉功能，提高患者的生存质量。
Objective To investigate the long term results of Majer Piquet′s operation in the treatment of glottic type of laryngeal carcinoma.Methods A series of 32 cases operated on between October 1990 and February 1995 were analysed, of whom 21 were T 1N 0M 0, 3 were T 1N 1M 0, 5 were T 2N 0M 0and1 each for T 2N 1M 0, T 3N 0M 0, T 3N 1M 0. Results In T 1 cases, 2、 3 and 5 years survival rate were 95.8, 93.7 and 90.9% respectively, while in T 2 cases,2、3 and 5 years survival rate were 100%, 83. 3% and 60% respectively.Decannulation rate was 96.9%.All patients could finally take food by mouth without inspiration, and could speak as soon as decannulated. By modifing the operative technique,the cases operated on after 1994 got relatively better results in phonation. Conclusion Majer Piquet′s operation not only is effective in the treatment of T 1, T 2 and some T 3 glottic type of laryngeal carcinomas, but also can satisfactorily reserve laryngeal function and improve the quality of patient′s life.
出处
《中华耳鼻咽喉科杂志》
CSCD
1998年第1期24-26,共3页
Chinese Journal of Otorhinolaryngology
关键词
喉肿瘤
外科手术
生存率
疗效
Laryngeal neoplasms Surgery,operative Survival rate Carcinoma,squamous cell
