老年人喉癌新喉再造术的远期疗效观察  

LONG - TERM FOLLOW - UP RESULTS OF LARYNGEAL RECONSTRUCTION IN SENILE PATIENTS WITH LARYNGEAL CARCINOMA

作　　者：王沁[1] 阮盛祥[1] 黄鹤年[2] 

机构地区：[1]华东医院耳鼻喉科,上海市200040 [2]上海医科大学耳鼻喉科研究所

出　　处：《老年医学与保健》1999年第3期123-125,共3页Geriatrics & Health Care

摘　　要：目的 探讨老年人喉癌患者行肿溜切除新喉再造术的远期疗效。方法 总结1989年12月，1998年3月对30例60岁以上喉癌患者行喉肿瘤切除新喉再造术的资料，其中男29例，女1例，年龄60—78岁。结果 全部病例术后拔除气管套管经喉呼吸，恢复了发音功能和吞咽功能，术中无死亡，术后无严重并发症，术后随访局部无肿瘤复发。12例已存活7年以上．10例已存活5年以上．4例已存活3年以上。结论 有选择地对老年人喉癌患者行新喉再造术是可行的，能较满意地保留喉功能，提高患者术后生活质量。To study the long - term follow - up results of partial laryngectomy and laryngeal reconstruction in senile patients with laryngeal carcinoma. Methods A retrospective review was made on 30 patients who were above 60 years old and treated by partial laryngectomy and laryngeal reconstruction from December 1989 to March 1998. Twenty- nine patients were male and 1 was female. The age range was from 61 to 78, with a mean age of 66.7. Two cases were in clinical stage T1N0M0, 21 cases stage T2N0M0 and 7 cases stage T3N0M0. Results All patients breathed through the larynx after decannulation and had their phonation and deglutition restored. No serious postoperative complications were found. Thirty patients were all alive, of whom, 12 patient have survived for 7 years, 10 patients for 5 years and 4 patients for 3 years. Conclusions Laryngeal carcinoma treated selectively with laryngeal reconstruction, which improves the quality of the life, is feasible and acceptable.

关 键 词：老年人 再造术 喉癌 患者 术后 远期疗效观察 切除 结论 目的 资料 

分 类 号：R739.65[医药卫生—肿瘤] R473.76[医药卫生—临床医学]