显微支撑喉镜下CO_2激光治疗声门型喉癌的疗效分析  

Effect of CO_2 Laser Surgery for Glottic Laryngeal Carcinoma Under Microscopic Suspension Laryngoscope

作　　者：朱秋蓓[1] 范静平[1] 李力[1] 王嘉森[1] 赵舒薇[1] 

机构地区：[1]上海长征医院,上海200003

出　　处：《肿瘤学杂志》2012年第9期648-651,共4页Journal of Chinese Oncology

基　　金：上海市科委临床医学领域重点科技攻关专项课题(09411950800)

摘　　要：[目的]探讨显微支撑喉镜下CO2激光治疗声门型喉癌的临床应用。[方法]回顾性分析2007年至2009年61例采用显微支撑喉镜下CO2激光治疗的喉癌患者的临床资料。其中T1N0M0期37例,T2N0M0期24例。[结果]61例患者手术顺利,无并发症发生。患者随访2.5～4.5年。4例患者因复发行再次手术,1例患者死于心脑血管意外,2例失访。其余54例患者均健在,无肿瘤复发,生活质量良好。3年生存率为95.0%,局部复发率为6.6%。[结论]显微支撑喉镜下CO2激光是治疗T1、T2期声门型喉癌的有效手术方式,喉功能保全好,创伤小,疗效可靠。[Purpose] To evaluate the effect of CO2 laser surgery for glottic laryngeal carcinoma under microscopic suspension laryngoscope. [Methods] A retrospective analysis was made on 61 cases （T1NoMo 37 cases,T2NoMo 24 cases） with glottic laryngeal carcinoma treated by microscopic suspension laryngoscope laser surgery during 2007 to 2009. [Results] The operations were suc- cessful without any complications. The patients were followed up for 2.5 to 4.5 years. Four patients underwent reoperation because of recurrence, and 1 patient died for cardiovascular accident ,while 2 patients were failed to be followed up. The rest 54 patients were still alive without recurrence, with better quality of life. The 3-year survival rate was 95.0%,and the local recurrence rate was 6.6%. [Conclusions] Microscopic suspension laryngoscope laser surgery is effective for glottic la- ryngeal carcinoma TI or T2 stage ,with less trauma and better laryngeal function.

关 键 词：喉肿瘤 声门 激光手术 支撑喉镜 

分 类 号：R739.65[医药卫生—肿瘤]