早期声门癌显微手术治疗的临床观察  

The clinical observation of microsurgery treatment in early glottic carcinomas

作　　者：王斌全[1] 夏立军[1] 石秋英[1] 张念祖[1] 

机构地区：[1]山西医科大学第一附属医院耳鼻咽喉科,太原030001

出　　处：《中华耳鼻咽喉科杂志》2000年第5期378-380,共3页Chinese Journal of Otorhinolaryngology

摘　　要：目的　提高早期声门癌患者术后生存质量 ,获得良好的发音效果。方法　在支撑喉镜、显微镜下对 2 2例早期声门癌 (T1a16例 ,原位癌 6例 )患者采用激光探刀切割 ,为了避免残留肿瘤 ,采用激光探头对创面及切缘汽化 ,并对术前、术后进行声学参数的客观分析及纤维喉镜检查 ,评估声带情况。结果　术后 3年复发率为 9.0 % ( 2 2 2 ) ,3、4、5年生存率分别为 10 0 %、94.7%、93.3%。患者术后比术前嗓音明显好转 ,但不能达到正常水平。结论　对早期声门癌行声带显微外科手术 ,可以减少对正常组织的损伤 ,术后患者生存质量提高 ,临床上应推广应用。Objective To improve the life quality of the patients with T 1 glottic carcinomas, and obtain good vocal effect. Methods Twenty-two patients under shoring laryngoscope and microscope were operated by surgery and laser. The phonetic parameters and vocal cord states of preoperative and postoperative patients were evaluated and analyzed objectively. Results The three-year relapse rate was 9.0% (2/22), and the survival rate of three-year, four-year, five-year were 100%, 94.7%, 93.3% respectively. The postoperative phonetic quality was improved.Conclusion Patients with early glottis carcinomas could be treated by microsurgery. The damage of normal tissue might be reduced, and the patient′s life quality has been improved. This method should be used widely in clinic.

关 键 词：喉肿瘤 激光手术 语音质量 喉切除 显微外科手术 

分 类 号：R739.6[医药卫生—肿瘤]