高龄喉癌患者60例手术疗效分析  

Analysis of Surgical Effect on 60 Aged Patients with Laryngeal Carcinoma

作　　者：孙星梅[1] 陈学明[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院耳鼻喉科,上海200025

出　　处：《中国眼耳鼻喉科杂志》2007年第4期233-235,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨高龄喉癌患者的手术疗效。方法回顾性分析因喉癌在我科接受手术治疗的60例高龄患者的临床资料。结果所有高龄喉癌患者手术顺利。手术后出现合并症9例(15%),其中合并肺脓肿1例,上消化道出血4例,咽瘘2例,切口感染2例,经积极处理均痊愈出院。3年和5年生存率分别为63.3%和33.3%。结论高龄喉癌患者手术疗效较差,影响手术疗效的因素主要取决于病变部位及范围,而与年龄无直接关系。(中国眼耳鼻喉科杂志,2007,7:233-235)Purpose To explore surgical effect on the aged patients with laryngeal carcinoma. Methods Sixty aged patients with laryngeal carcinoma that were treated with different laryngectomies from 1993 to 2001 were reviewed retrospectively. Results All the patients were treated by the laryngectomies successfully. Severe complications included one lung abscess case, four upper gastrointestinal hemorrhage cases, two anastomotic leakage cases and two local infection cases. These complications that occurred in 9 of 60（ 15% ） were cured by active treatment. The 3-and 5-year survival rate were 63.3% and 33.3% respectively. Conclusion Surgical effect on the aged patients with laryngeal carcinoma is poor. Factors that influence the surgical effect are determined by the type and the extent of laryngeal carcinoma principally. There is no direct relation of the therapeutic effect with age.

关 键 词：喉癌 高龄 手术疗效 

分 类 号：R739.65[医药卫生—肿瘤]