环状软骨-舌骨会厌固定术治疗喉癌疗效评价  

The Results of Cricohyoidoepiglottopexy in the Treatment of Lar yngeal Carcinoma

作　　者：吴先光[1] 姚卓华[1] 罗育新[1] 

机构地区：[1]汕头大学医学院第二附属医院耳鼻咽喉头颈外科,广东汕头515041

出　　处：《汕头大学医学院学报》2005年第1期31-32,共2页Journal of Shantou University Medical College

摘　　要：目的 :探讨环状软骨 舌骨会厌固定术 (CHEP)治疗声门型喉癌的疗效。方法 :对 11例T2 期和 2例T3 期声门型喉癌行CHEP的患者进行临床随访和治疗效果评价。结果 :T2 期患者的 3、 5年生存率分别为 90 . 9%、 81. 8%。拔管率 10 0 . 0 %。本组经训练后经口进食无呛咳。拔掉气管套管后均能发音。结论 :CHEP是一种治疗T2 和部分T3 声门型喉癌操作简便、效果显著的术式 ,且能满意地保留喉功能 ,提高患者的生存质量。Objective:To investigate the results of cricohyoidoepiglottopexy(CHEP)in the treatment of glottis-type laryng eal ca r cinoma. Method:Thirteen patients with laryngeal carcinoma by CHEP were clinicall y followed up.Results: Three-and five-year survival rate in T 2 cases was 90 .9% and 81.8%. The decannulated rate was 100.0%.All the patients could finall y take food by mouth without bucking,and speak as soon as decannulated. Conclus ion: CHEP is a good technique to treat patients with glottis-type laryngeal car cinoma for T 2 and T 3,and can satisfactorily remain the laryngeal function an d improve the patientsquality of life.

关 键 词：治疗 舌骨 会厌 声门型喉癌 软骨 患者 固定术 结论 训练 目的 

分 类 号：R739.65[医药卫生—肿瘤] R735.7[医药卫生—临床医学]