改良宽蒂矩形切口手术治疗晚期声门上癌  

A modified laryngectomy combined with radical neck dissection for late-staged supraglottic carcinoma

作　　者：陈恩河[1] 林炘[1] 施清士[1] 

机构地区：[1]广东汕头市中心医院耳鼻咽喉科,515031

出　　处：《临床耳鼻咽喉科杂志》1998年第3期122-123,共2页Journal of Clinical Otorhinolaryngology

摘　　要：为探讨提高手术治疗晚期声门上癌疗效的方法，报告对8例声门上癌、贯声门癌颈淋巴结转移病例，取宽蒂矩形切口行全喉、次全喉颈联合根治术，3例行喉功能重建。全部病例元并发症出现，随访5年，除1例死于颈淋巴结转移及肺转移，其余均健在，并仍在继续随访之中。认为该术式术野宽阔，有利于肿块的完整切除，同时更利于颈、喉及气管旁等区域的淋巴结清扫。8 cases of supraglottic or transglottic carcinoma with neck lymphatic metastasis recieved a modified laryngectomy or subtotal laryngectomy combined with radical neck dissection.Laryngeal function was reconstructed in 3 of them. No postoperative complication occurred. All cases survived uneventfully through a five-year following up, except one who died of neck lymphatic and lung metastasis. The indication, procedure and adventage of this operation are disscussed in this article.

关 键 词：喉肿瘤 晚期 声门上癌 宽蒂矩形切口 切口 

分 类 号：R739.650.5[医药卫生—肿瘤]