44例喉部分切除术的临床分析  

Clinical analysis of 44 partial laryngectomies

作　　者：周永清[1] 尚耀东[1] 赵国庆[1] 吴艳桥 马少民 柳英兰[3] 

机构地区：[1]白求恩国际和平医院全军耳鼻咽喉中心,河北石家庄050082 [2]河北省藁城市中西医结合医院耳鼻咽喉科 [3]白求恩军医学院医院耳鼻咽喉科,河北石家庄050081

出　　处：《中国耳鼻咽喉颅底外科杂志》2001年第3期139-141,共3页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：目的 研究喉部分切除术的疗效。方法 回顾分析了我科自１９８７～１９９３年间４４例喉癌患者行喉部分切除术的临床资料。其中，声门型 ２５例，声门上型 １８例，声门下型１例；Ⅰ～Ⅱ期２４例，Ⅲ～Ⅳ期２０例。结果 全部病例的言语功能均有不同程度的恢复，均能经口进食，总的拔管率为７３．３％。Ⅰ～Ⅱ期的５年生存率为８７．５％，Ⅲ～Ⅳ期的５年生存率为６５％。总的５年生存率为７７．２７％。结论 喉部分切除术是治疗喉癌的有效方法之一，但对一些晚期喉癌病例需要慎重选择。Objective To study the curative effect of partial laryngectomy. Methods We retrospectively analyzed 44 cases with laryngeal carcinoma between 1987 and 1993 who had complete data and been followed up for 5 years after partial laryngectomy in our hospital. Of the 44 cases, 25 were glottic carcinoma, 18 were supraglottic carcinoma, and the other one was subglottic carcinoma. Twenty-four cases belonged to Stage Ⅰ-Ⅱ, and 20 cases were Stage Ⅲ-Ⅳ. Results The curative effect was satisfactory. All patients could eat by mouth and had speech function to different degrees after the surgery. The decannulation rate was 73.3%. The total 5 - year survival rate was 77.27%, with Stage Ⅰ-Ⅱ 87.5% and Stage Ⅲ-Ⅳ 65%. Conclusion Partial laryngectomy is one of the effective methods for laryngeal carcinoma, but we should be very careful when patients are in the advanced cancer stage.

关 键 词：喉肿瘤 癌 鳞状细胞 喉切除术 

分 类 号：R739.650.5[医药卫生—肿瘤] R730.56[医药卫生—临床医学]