摘要
[目的]探讨显微支撑喉镜下CO2激光治疗声门型喉癌的临床应用。[方法]回顾性分析2007年至2009年61例采用显微支撑喉镜下CO2激光治疗的喉癌患者的临床资料。其中T1N0M0期37例,T2N0M0期24例。[结果]61例患者手术顺利,无并发症发生。患者随访2.5～4.5年。4例患者因复发行再次手术,1例患者死于心脑血管意外,2例失访。其余54例患者均健在,无肿瘤复发,生活质量良好。3年生存率为95.0%,局部复发率为6.6%。[结论]显微支撑喉镜下CO2激光是治疗T1、T2期声门型喉癌的有效手术方式,喉功能保全好,创伤小,疗效可靠。
[Purpose] To evaluate the effect of CO2 laser surgery for glottic laryngeal carcinoma under microscopic suspension laryngoscope. [Methods] A retrospective analysis was made on 61 cases （T1NoMo 37 cases,T2NoMo 24 cases） with glottic laryngeal carcinoma treated by microscopic suspension laryngoscope laser surgery during 2007 to 2009. [Results] The operations were suc- cessful without any complications. The patients were followed up for 2.5 to 4.5 years. Four patients underwent reoperation because of recurrence, and 1 patient died for cardiovascular accident ,while 2 patients were failed to be followed up. The rest 54 patients were still alive without recurrence, with better quality of life. The 3-year survival rate was 95.0%,and the local recurrence rate was 6.6%. [Conclusions] Microscopic suspension laryngoscope laser surgery is effective for glottic la- ryngeal carcinoma TI or T2 stage ,with less trauma and better laryngeal function.
出处
《肿瘤学杂志》
CAS
2012年第9期648-651,共4页
Journal of Chinese Oncology
基金
上海市科委临床医学领域重点科技攻关专项课题(09411950800)
关键词
喉肿瘤
声门
激光手术
支撑喉镜
laryngeal neoplasms
glottis
laser surgery
suspension laryngoscope
