摘要
目的 :探讨喉癌复发的原因和再手术治疗方法。方法 :对 11例喉复发癌的临床资料进行回顾性分析 ,其中Ⅲ、Ⅳ期9例。初次手术切缘阳性 3例 ,颈淋巴结处理不当 6例 ,治疗方案不合理 2例 ;9例于 1年内复发。根据病情采用不同的手术方法 ,其中胸大肌肌皮瓣修复颈部皮肤缺损 3例 ,胃代下咽食管 2例。结果 :再手术随访 3年以上 ,1年生存率 72 .7% ,3年生存率 4 5 .4 % ,其中 2例术后 5年仍健在。全部患者均能经口进食 ,呼吸困难解除。颈部疼痛和不适缓解 ,颈部溃烂和感染愈合 ,无重大并发症发生。结论 :初次治疗不当是肿瘤短期内复发的主要原因。复发癌的治疗以手术为首选 ,可延长患者的生命。
Objective:To study the causes of recurrent laryngeal carcinoma and the treatment methods.Methods:The clinical data of 11 cases of recurrent laryngeal carcinoma were analysed retrospectively.Nine cases of laryngeal carcinoma were stage Ⅲ to Ⅳ.The residual tumor was found in 3 cases,irrational radical neck dissection in 6 cases and improper method of teatment in 2 cases.Nine cases recurred in 1 year.All the patients were treated with surgery.The pectoralis myocutaneous flap was applied in 3 cases,and the pharyngo gastric anastomasis in 2 cases.Results:The 1 year and 3 year survival rates for second operation were 72.7% and 45.4 %,respectively.All cases resumed normal meals and respiration.The pain in the neck was relieved and ulceration was cured.No severe complication occurred.Conclusions:First irrational treatment of laryngeal carcinoma is the major cause of recurrence of laryngeal carcinoma in short period.Surgery is the choice of treatment for recurrent laryngeal carcinoma,which can prolong the patients life.
出处
《蚌埠医学院学报》
CAS
2003年第4期303-305,共3页
Journal of Bengbu Medical College
关键词
喉肿瘤
外科手术
肿瘤复发
局部
laryngeal neoplasms
surgery
neoplasm recurrencet
local
