不同年龄喉癌患者对手术承受能力的差异  

The difference of endurence on operation between senile and non-senile patient with laryngeal cancer

作　　者：于健[1] 王立冬 韩国钧[1] 庄坤[1] 

机构地区：[1]哈尔滨医科大学第一临床医学院耳鼻咽喉-头颈外科,黑龙江哈尔滨150001 [2]哈尔滨市第四医院耳鼻咽喉科,黑龙江哈尔滨150026

出　　处：《中国耳鼻咽喉颅底外科杂志》2007年第5期369-372,共4页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的探讨老年与非老年喉癌患者对手术承受能力的差异。方法对我科2000-2006年10月收治的396例喉癌手术患者分为两组：A组年龄≥60岁,B组〈60岁,并对术前所患慢性疾病、术后并发症等进行分析比较。结果两组患者术前所患慢性疾病比较：A组患慢性病者占76.8%（106/138）,B组为51.2%（132/258）,两组比较有统计学意义（P〈0.01）。术后并发症比较：A组为24.6%（34/138）,B组为14%（36/258）,两组间差异有统计学意义（P〈0.01）。A组死亡3例。结论老年人易患多种疾病,对手术的应激的储备能力下降,术后易出现并发症。为减少并发症使手术风险降至最低,应术前详细了解病史,术后严密观察,发现问题及时采取措施;根据患者具体情况选择适当的术式。Objective To investigate the difference of endurence on operation between senile and non--senile patient with laryngeal cancer. Methods A retrospective study was made on 396 cases with carcinoma of larynx that were admitted to our department between 2000-2006, which were treated with total or partial larynsectomy. 138 patients that were more than 60 years old were set to group one. The other 258 patients were set to group two. The incidence rate of preoperative chronic disease and postoperative complications were compared between the two groups. Results The incidence rate of preoperative chronic disease was significantly different between the two groups （ P 〈0. 01 ） . The incidence rate of postoperative complications was different between the two groups （ P〈0. 01）. Conclusion The study showed that the senile patients were apt to have postoperative complications. It is very important to review the medical history and to examine the patients thoroughly before the operation and consult with the expert to get the patients in the best state for operation. To choose properate operation according to the patient＇s condition in order to reduce the incidence rate of the postoperative complication and the operative risks.

关 键 词：喉肿瘤 并发症 喉切除术 承受力 

分 类 号：R739.65[医药卫生—肿瘤]