摘要
目的 对保留喉功能的下咽癌切除手术进行回顾性分析。方法 对 1990～ 1994年间2 3例保留喉功能的下咽癌切除手术患者的手术效果、并发症、生存率、修复材料和方法等进行分析。结果 2 3例中并发症发生率为 34 8% (8/2 3) ,2 0例 (87 0 % )恢复了喉全功能 ,出院时 2 3例全部经口进食 ,吞咽成功率 10 0 %。术后平均经口进食时间为 11 8d(6～ 33d) ,术后平均住院 32d(14～ 94d) ,3年和 5年生存率分别为 73 9% (17/2 3)和 47 8% (11/2 3)。结论 下咽癌有效的术式能较满意地保留喉功能 ,提高患者的生存质量 ,对大多数下咽癌病例 ,是较为理想的方法。
Objective To investigate the results of the conservation laryngectomy in patients with hypopharyngeal carcinoma Methods Twenty three cases with hypopharyngeal carcinoma that were treated with function sparing laryngectomy during a 15 year period were reviewed retrospectively Results The 3 year survival rate was 73 9% (17/23) and 5 year survival rate was 47 8%(11/23) Severe complication occurred in 8 of 23 (34 8%) Complete restoration of laryngeal function was achieved in 20 cases (87%) and deglutition restored in all patients (100%) The mean duration of oral intake was 11 8 days (6～33 days) and mean hospitalization was 32 days (14～94 days) Conclusion Conservation laryngectomy and hypopharyngectomy is not only efficacious in the treatment of hypopharyngeal carcinomas, but also reserves laryngeal function and thus improves the quality of patients life
出处
《中华耳鼻咽喉科杂志》
CSCD
1999年第5期311-313,共3页
Chinese Journal of Otorhinolaryngology
关键词
咽肿瘤
咽切除术
喉切除术
生存率
Pharyngeal neoplasms Pharyngectomy Laryngectomy Survival rates
