175例喉癌手术、放疗及手术加放疗的分析比较  

Analysis and Comparison of Surgery,Radiotherapy and Surgery plus Radiotherapy in 175 Cases of Laryngeal Cancer

作　　者：张海清[1] 陈菲[1] 廖遇平[2] 肖斌生[3] 虞仁和[4] 

机构地区：[1]湖南省肿瘤医院头颈外科,长沙市410006 [2]湖南省肿瘤医院放疗科,长沙市410006 [3]湖南省肿瘤医院流行病学科,长沙市410006 [4]湖南医科大学卫生统计教研室

出　　处：《中国肿瘤临床》1993年第11期850-853,共4页Chinese Journal of Clinical Oncology

摘　　要：本文分析经病理证实的喉癌175例。声门上区77(44％),声门区91(52％),声门下区7(4％)。按1978年UICC喉癌临床分期标准:Ⅰ期23例(13.1％),Ⅱ期36例(20.6％),Ⅲ期60例(34.3％),Ⅳ期 56例(32％),其治疗归纳为3组:单纯手术组 24例,手术加放疗组 26例,单纯放疗组 125例。生存率按Kaplan-Meier氏生存曲线法分析比较;结果是Ⅰ、Ⅱ、Ⅲ期差别无显著性,Ⅳ期则以手术加放疗组效果最佳。One hundred and seventy-five cases of laryngeal cancer confirmed pathologically were studied. The loca- tions of primary lesions were supraglottic in 77 cases(44％),glottic 91 cases(52％) and subglottic 7 cases(4％). Accord- ing to the TNM system classification of UICC (1978) stage I accouned for 23 cases (13. 1％), stage Ⅱ 36 cases (20. 60％),stage Ⅲ cases(34. 30％) and stage Ⅳ 56 cases(32. 00％).In this series, 24 cases were treated with surgery alone, 26 cases were treated with surgery plus radiotherapy and 125 cases were treated with radiotherapy alone. The survival was analysed and displayed by Kaplan-Meier curve. It was shown that there was no significant difference a- mong the three modalities of treatment in stage Ⅰ,Ⅱ, Ⅲ cases. However,there was significant difference among the three modalities in patients with stage Ⅳ disease with surgery plus radiotherapy being the best.

关 键 词：癌 喉肿瘤 放射疗法 外科手术 

分 类 号：R739.650.5[医药卫生—肿瘤]