气管造口复发癌的临床分析和治疗转归  

Clinical analysis and prognosis of stomal recurrence after laryngectomy

作　　者：李建胜[1] 马健[1] 牟善宇[1] 乔秀军[1] 潘新良[2] 

机构地区：[1]山东省日照市人民医院耳鼻咽喉科,山东日照276826 [2]山东大学齐鲁医院耳鼻咽喉科,山东济南250012

出　　处：《中国耳鼻咽喉头颈外科》2010年第4期190-191,共2页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨气管造口复发癌的原因及手术治疗的可行性。方法回顾分析13例气管造口复发癌的临床资料,分析复发原因,对比手术和非手术治疗的效果。结果13例气管造口复发癌中,未行手术治疗4例,除1例存活1年3个月,其余3例均在2～7个月死亡;接受手术治疗9例,6例存活1年以上,4例随访3年,有1例仍存活。手术组1年生存率显著高于非手术组。结论气管造口复发癌预后较差,适当的手术治疗可延长患者生命,提高生活质量。OBJECTIVE To investigate the causes of stomal recurrence after laryngectomy and the possibility of surgical management.METHODS The clinical data of 13 cases of stomal recurrence were analyzed retrospectively.RESULTS In 13 cases of stomal recurrence after laryngectomy,the survival period of 9 cases treated surgically was longer than that of 4 cases untreated or palliative treatment.CONCLUSION The overall prognosis of stomal recurrence after laryngectomy is poor.A proper surgical treatment in some cases will prolong the patient＇s lifetime obviously and improve his quality of life.

关 键 词：喉切除术 气管造口术 肿瘤复发 局部 

分 类 号：R734.1[医药卫生—肿瘤]