T＿3、T＿4声门上型喉癌手术应当切除舌骨  

Hyoid bone resection in the management of supraglottic carcinoma

作　　者：佟凯[1] 唐平章[1] 

机构地区：[1]大连医科大学附属第一医院耳鼻咽喉科,中国医学科学院肿瘤医院头颈外科

出　　处：《耳鼻咽喉（头颈外科）》1996年第1期27-29,共3页Chinese Arch Otolaryngology-Head Neck Surg

摘　　要：回顾性总结自１９７９～１９９０年中国医学科学院肿瘤医院头颈外科１１１例声门上型喉癌临床Ｔ３、Ｔ４Ｎ０～３行单纯手术治疗的病例资料，３年生存率６０．４％，５年生存率５９．５％。发现其约有６３．１％侵及会厌前间隙，约１７．１％侵犯舌根及会厌谷。本文阐述了舌骨及会厌前间隙的解剖特点、强调我院对此的处理方法：一律切除舌骨或大部分舌骨，目的是为了保证切缘，减少局部复发，彻底根治肿瘤，绝大多数部分喉切除术后患者吞咽功能恢复良好。Abstract A retrospective review of 111 patients withT;and T4 supraglottic squamous ceLL carci-noma between 1979 and 1990 was reported.The 3-year survival rate was 60.4%(67/111)Approximately 63.1%of all supraglottic lesions have been found to invade the preepiglottic space and 17.1%to involve the tongue base and vallecula. The local recurrence rate was low( 5.4%).All patients who had partial laryngectomy had normal swallowing without severe aspiration after surgery.Therefore,after consideration of the anatomic feature of the preepiglottic space,we advocate routine resection of hyoid bone for supraglottic carci-noma.x

关 键 词：喉肿瘤 外科手术 癌 舌骨切除 

分 类 号：R739.650.5[医药卫生—肿瘤]