摘要
目的 :探讨Pearson术式在治疗晚期喉癌中的作用。方法 :采用Pearson术式治疗 2 8例晚期喉癌 ,对其中的 2 6例同期行颈清扫术或分区性颈清扫术。结果 :术后随访 3～ 5年 ,2 7例(96 .4 % )能发声 ,其中发声良好者 11例 ,一般 14例 ,差 2例。无一例误咽。 3年生存率为78.6 % ,5年生存率为 6 8.4 %。结论 :Pearson术式治疗晚期喉癌 ,既能保留喉的大部分功能 ,又能根治病变 ,提高了一部分传统上需做喉全切除术患者的生活质量。
Objective:To seek for a better method of treating the advanced laryngeal cancer.Method:Twenty eight cases of advanced laryngeal cancer were treated with near total laryngectomy(Pearson technique),including 11 glottic cancers(Ⅲ stage,8 cases;Ⅳ stage,3 cases),17 supraglottic cancers (Ⅲ stage,13 cases;Ⅳ stage,4 cases).In the same time 26 patients had neck node dissections.All the cases had speech function reconstructions.Result:The speech function was obtained in 27/28( 96.4 %).All cases had good swallowing.3 year survival rate is 78.6 %.5 year survival rate is 68.4 %.Conclusion:Near total laryngectomy can be used in most cases that might be treated with traditional total laryngectomy in the past.It can provide satisfied survival rate,good swallowing,better speech function,but breath function.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2003年第6期328-329,共2页
Journal of Clinical Otorhinolaryngology
关键词
喉切除术
喉肿瘤
喉功能
Laryngectomy
Laryngeal neoplasms
Laryngeal function
