摘要
目的探讨喉垂直部分切除术治疗喉癌的临床疗效。方法对2002年1月-2010年6月收治的36例声门型喉癌及跨声门型喉癌行喉垂直部分切除术患者的临床资料进行回顾性分析,其中声门型30例,跨声门型6例。26例行喉垂直部分切除术,10例行喉扩大垂直部分切除术。8例同时行功能性颈廓清术,20例行择区颈廓清术,8例探查患侧Ⅱ、Ⅲ区淋巴结未予颈廓清术。8例（T2N1M0,T3N1M0）声门型喉癌术后6周联合放疗。结果随访满3年患者31例,死亡2例,失访5例;随访满5年患者28例,死亡3例,失访6例。3年生存率80.55%,5年生存率69.44%。结论喉垂直部分切除术是临床上治疗声门型喉癌的有效术式,但需要严格把握适应证。
Objective To discuss the therapeutic effect of vertical partial laryngectomy on laryngeal carcinoma. Methods Clinical data of 36 patients with laryngeal carcinoma undergoing vertical partial laryngectomy from Jan 2002 to June 2010 in our department was analyzed retrospectively. Of them, 30 were glottic carcinoma while 6 were transglottie. Vertical partial laryngectomy was performed in 26 cases and extended vertical partial laryngectomy in 10 cases. Meanwhile, functional neck dissection, regional neck dissection and lymph node exploration of levels U , lU were performed in 8 , 20 and 8 cases respectively. 8 patients with glottie carcinoma of T2 N 1 M0 , T3 N 1 M0 stage received postoperative radiotherapy of 6000 CGY/6 weeks. Results During the follow-up period of 3 years, 2 patients died and 5 lost. During the follow-up period of 5 years, 3 cases died and 6 lost. The 3-year survival and 5-year survival rates were 80. 55 % and 69.44 % respectively. Conclusion With strict indication, vertical partial laryngectomy is an effective surgical procedure for advanced glottic carcinoma.
出处
《中国耳鼻咽喉颅底外科杂志》
CAS
2014年第4期315-318,共4页
Chinese Journal of Otorhinolaryngology-skull Base Surgery
关键词
喉癌
喉垂直部分切除术
喉功能重建
Laryngeal neoplasm
Laryngectomy, vertical, partial
Reconstruction of laryngeal function
