摘要
目的 :探讨下咽癌手术保留喉功能的可行性及疗效。方法 :对 2 3例下咽癌患者实施保留喉功能的下咽癌切除术 ,应用带状肌肌筋膜等修复喉咽腔 ,术后予以辅助性放射治疗。结果 :2 3例均恢复发声功能 ,16例恢复了喉全功能 ,吞咽成功率为 95 .7% ,并发症发生率为 4 7.8% (11 2 3)。 3年和 5年生存率分别为6 9 .6 % (16 2 3)和 4 7.8% (11 2 3)。结论 :下咽癌手术多数能保留喉的正常部分 。
Objective:To investigate the feasibility and the results of laryngeal function preservation in surgical treatment of hypopharyngeal carcinoma. Method: 23 cases with hypopharyngeal carcinoma were treated with function-sparing laryngectomy and received postoperative radiotheraphy and the defect of laryngeal pharynx was constructed by various material such as muscular fasciae, et al. Results: Vocalization was recovered in all the patients and complete restoration of laryngeal function was achieved in 16 cases. The deglutition restoration rate and complication incidence were 95.7% and 47.8% respectively. The 3-year survival rate was 69.6% and 5-year survival rate was 47.8%. Conclusion: It is feasible for major patients with hypopharyngeal carcinoma to preserve the normal parts of the larynx and restitute the function of the larynx. The effect of operation is satisfactory.
出处
《山东大学基础医学院学报》
2003年第5期287-289,共3页
Journal of Preclinical Medicine College of Shandong Medical University
