侵及前连合的声门型喉癌手术治疗  

Surgical management of glottic carcinoma involved anterior commissure

作　　者：毕竞韬[1] 刘业海[1] 杨克林[1] 吴静[1] 赵益[1] 陶冶[1] 童步升[1] 高潮兵[1] 吴开乐[1] 

机构地区：[1]安徽医科大学第一附属医院耳鼻咽喉头颈外科,安徽合肥230022

出　　处：《中国耳鼻咽喉头颈外科》2011年第8期411-413,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨侵及前连合的声门型喉癌有效的手术方法。方法回顾性分析侵及前连合的声门型喉癌T1～T3病变,行喉前淋巴结清扫、喉裂开声门上、下联合进路处理的37例完整临床资料。其中T1病变20例,T2病变7例,T3病变10例。采用Kaplan-Meier法计算术后生存率。结果本组治疗后3个月全部拔除气管套管并恢复了吞咽和发音功能。前连合粘连1例,喉狭窄2例,喉漏2例。本组病例术后3年和5年生存率分别为100.0%和86.7%。结论重视喉前淋巴结的清扫、声门上、下联合进路是治疗侵及前连合的声门型喉癌的有效方法。OBJECTIVE To explore the surgical methods for management of glottic carcinoma involved anterior commissure（T1～T3）.METHODS The clinical data of 37 cases with glottic carcinoma involved anterior commissure（T1～T3）were retrospectively studied.The prelaryngeal lymph nodes were dissected and the lesions were removed through combined supraglottis and inferior glottis approach.There were 20 cases with T1 stage,7 cases with T2 stage and 10 cases with T3 stage.The survival rate of the patients was calculated with Kaplan-Meier method.RESULTS All the cases were decannulated and recovered the function of deglutition within 3 months after operation.The complications of the operation were anterior commissure adherence in one case,laryngeal stenosis in 2 cases and laryngeal fistula in 2 cases.The 3 and 5 year survival rates were 100.0% and 86.7% respectively.CONCLUSION In the cases of glottic carcinoma involved anterior commissure,the prelaryngeal lymph nodes dissection should be emphasized,also the combined supraglottis and inferior glottis approach to remove the tumor is an effective method.

关 键 词：喉肿瘤 外科手术 治疗 颈淋巴结清扫术 双蒂肌瓣 修复 

分 类 号：R739.65[医药卫生—肿瘤]