环状软骨上喉部分切除术的疗效分析  

Evaluation the curative effect of supracricoid partial laryngectomy for laryngeal cancer

作　　者：黄素红[1,2] 关中[1] 彭解人[1] 江远仕[2] 李清明 徐志坚[1] 

机构地区：[1]中山大学第二附属医院耳鼻咽喉科,广州510120 [2]深圳市第四人民医院耳鼻咽喉科,深圳518033

出　　处：《临床耳鼻咽喉头颈外科杂志》2011年第18期819-822,共4页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：国家自然科学基金资助项目(No:30873009)

摘　　要：目的:分析环状软骨上喉部分切除术(SCPL)的疗效、功能,为SCPL的应用提供临床经验。方法:回顾性分析1996-01-2004-12期间在中山大学第二附属医院耳鼻咽喉科收治的经病理确诊且随访资料完整的行SCPL术的115例喉癌患者,应用Kaplan-Meier法研究喉癌患者的生存结果。评估患者术后呼吸、吞咽、发声功能。结果:5年生存率为80.8%,拔管率为99.1%,平均拔管时间22.25d,平均拔胃管时间9.57d。环状软膏-舌骨-会厌固定术喉功能恢复优于环状软骨-舌骨固定术,所有患者术后发声功能均符合日常生活需要。结论:环状软骨上喉部分切除术取得相当好的肿瘤学及功能学结果,是一种安全有效的手术方式,值得推广应用。Objective： To analyze the oncological outcomes,functional outcomes in patients undergoing supracricoid partial laryngectomy（SCPL）.Provid clinical experience for application of SCPL. Method： A retrospective analysis of the 115 cases with laryngeal carcinoma accepted SCPL in our department from Jan 1996 to Dec 2004.Use the Kaplan-Meier method to analyze the patients＇survival rate.Evaluate the value of reserve larynx function. Result： The 5-years survival rates and the decannulation rate was 80.8%,99.1% respectively;and the average decannulation time was 22.25 days.The mean time of removal of gastric tube was 9.57 days.The function of CHEP was superior to CHP.The vocal function of 115 cases were all achieved in general communication. Conclusion： SCPL get better oncological and functional outcomes and allows the preservation of the basic function of the larynx.It＇s a safe,effective technique and deserved to generalization.

关 键 词：喉肿瘤 喉切除术 预后 生存率 

分 类 号：R739.65[医药卫生—肿瘤]