摘要
目的 :探讨 30年间喉部分切除术在喉癌治疗中的应用。方法 :30年间行喉部分切除术 2 57例 ,将30年喉部分切除术治疗喉癌分前 1 0年、中间 1 0年和后 1 0年 3个阶段 ,进行对比观察。前 1 0年、中间 1 0年和后 1 0年喉癌手术中喉部分切除术分别占 9 6%、52 3%和 68 6%。结果 :30年间喉部分切除术 2 57例 ,前1 0年、中间 1 0年和后 1 0年 3年生存率分别为 50 0 %、63 0 %和 73 6% ,5年生存率分别为 37 5%、55 6%和71 8% ;术后 1～ 3月内拔管率分别为 37 5%、50 6%和 71 4% ;术后咽瘘发生率分别为 2 5 0 %、1 2 3%和3 0 %。结论 :30年间喉部分切除术患者年龄有逐渐增高趋势 ;全喉切除术逐渐减少 ,喉部分切除术逐渐增加 ;3、5年生存率和术后拔管率有逐渐提高的趋势 ;术后咽瘘有逐渐减少的趋势。
Objective:To evaluate the application of partial laryngectomy in the treatment of laryngocarcinoma.Method:257 cases from 30 years were divided into 3 groups of the first 10 years,the 10 years,and the last 10 years.Through comparison and analysis,the rates of performing partial laryngectomy in the 3 groups were 9.6%,52.3% and 68.6% respectively.Result:The 3 years survival rates in the 3 groups were 50.0%,63.0% and 73.6% respectively;the 5 years survival rates were 37.5%,55.6% and 71.8% respectively;the detubation rates of postoperative 1 to 3 months were 37.5%,50.6% and 71.4%;the rates of occurrence of pharyngeal fistula were 25.0%,12.3% and 3.0% postoperatively.Conclusion:In the 30 years, the age of the patients accepting partial laryngectomy is tending to old;total laryngectomy is gradually decreasing while partial laryngectomy is gradually increasing;the 3 and 5 years survival rates and postoperative detubation rates are increasing while the rates of postoperative pharyngeal fistula are decreasing gradually.
关键词
喉肿瘤
喉切除术
病例研究
治疗
Laryngeal neoplasms
Laryngectomy
Case studies
