早期声门型喉癌的手术治疗  

Surgery of early glottic laryngeal carcinoma

作　　者：康喜讯[1] 万世恒[1] 周美英[1] 钟景良[1] 叶贝华[1] 傅明[1] 

机构地区：[1]东莞市人民医院耳鼻咽喉科,广东东莞523000

出　　处：《泸州医学院学报》2012年第5期496-498,共3页Journal of Luzhou Medical College

基　　金：广东省卫生厅科研课题(WSTJJ200912-18410711197308201040)

摘　　要：目的:寻求对早期声门型喉癌较理想的治疗方案。方法:对36例早期声带癌T1、T2病人进行合并电刀烧灼的喉部分切除术,术前进行低位气管切开,并根据术后拔管情况、呼吸、发音、复发和生存率情况,和其它治疗方式比较。结果:除4例失访只好定为死亡或复发外,2例死于其它原因,余下30例均5年生存质量较高,无复发。结论:低位气管切开和喉裂开术以其比较彻底地处理癌症病变、较低的并发症和相对较轻的手术损伤,我们认为是较理想的较安全的处理早期声门型喉癌的首选治疗方案。Objective： To study the treatment of early glottic laryngeal carcinoma. Methords： 36 cases of glottic laryngeal carcinoma accepted partial laryngectomy. All patients received low tracheotomy before surgery. Surgical treatment were compared with other treating methods in post-operative tracheal extubation rate, breath, vocalization,and survival rate. Results： 30 cases have got better quality of live, 4 cases were considered as recurrence or dead because of loss of follow-up,and 2 cases died of other reason. Conclusion： Laryngeal cleft combined with low tracheotomy proved to be an ideal treatment for patients with glottic laryngeal carcinoma with similar survival rate,radical excision of tumor, low complication, and less injury.

关 键 词：喉癌 早期 声门型 手术 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]