水平垂直部分喉切除术的临床观察  

Clinical observation on horizontal-vertical partial laryngectomy

作　　者：彭小伟[1,2] 喻建军 陈杰[1,2] 李赞 戴捷[1,2] 黄文孝 包荣华[1,2] 魏威 单振锋[1,2] 田皞 胡杰[1,2] 

机构地区：[1]湖南省肿瘤医院 [2]中南大学湘雅医学院附属肿瘤医院头颈外科,湖南长沙410013

出　　处：《中国耳鼻咽喉颅底外科杂志》2012年第6期469-471,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的观察水平垂直部分喉切除术的治疗效果。方法总结2000～2006年采用水平垂直部分喉切除术治疗的36例喉癌患者,分析其生存率和喉功能保留情况。结果本组病例3年生存率80.6%,5年生存率为78.8%。死亡病例中除失访3例外;另外7例死亡病例中,死于局部复发2例、死于颈部淋巴结转移2例、死于肺转移1例、死于大出血1例、死于骨转移1例。本组患者均保留了发音功能,35例患者拔管,拔管率为97.2%,经过功能训练,患者均可经口进食。结论在严格掌握适应证的情况下,水平垂直部分喉切除术能够在保留喉功能的同时根治肿瘤。Objective To observe the therapeutic effect of horizontal-vertical partial laryngectomy in the treatment of laryngeal cancer. Methods The clinical data of 36 patients suffering from advanced laryngeal cancer and treated with horizontal-vertical partial laryngectomy was analyzed retrospectively. Results The 3- and 5-year overall survival rates were 80.6% and 78.8%. All patients had good phonation and resumed mouth-feeding after surgery. Among all the deaths, 3 got loss of follow-up, 2 died of recurrence of laryngeal cancer, 2 of cervical metastasis, 1 of pulmonary metastasis, 1 of hemorrhea, and 1 of osseous metastasis. Of all the 36 cases, 35 cases were decannulated with a decannulation rate of 97.2 %. Conclusion With correct surgical indications, horizontal-vertical partial laryngectomy is satisfactory for the treatment of laryngeal cancer and feasible to preserve laryngeal functions.

关 键 词：喉癌 水平垂直部分喉切除术 喉功能保留 

分 类 号：R739.65[医药卫生—肿瘤]