喉环状软骨上部分切除术的应用进展  

Application progress of supracricoid partial laryngectomy

作　　者：葛鑫颖 马玥莹[1] 刘良发[1] Ge Xinying;Ma Yueying;Liu Liangfa(Department of Otolaryngology Head and Neck Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院耳鼻咽喉头颈外科,北京100050

出　　处：《国际耳鼻咽喉头颈外科杂志》2019年第1期37-41,共5页International Journal of Otolaryngology-Head and Neck Surgery

基　　金：北京市教育委员会科技发展计划面上资助项目(KM201510025028).

摘　　要：近年来喉癌的发病率呈上升趋势。手术治疗仍然是喉癌的主要治疗手段,手术方式从最初确保肿瘤完全切除的喉全切除术转变为在确保肿瘤完全切除的基础上最大程度的保留喉的功能,提高患者的生存质量。而喉环状软骨上部分切除术以保留环杓单元为特点,既能完整切除肿瘤,又可保留喉的生理功能,且不需要永久性气管造瘘,在不影响生存率和局部控制率的前提下,有效改善患者的生活质量,从而得到广泛应用。本文首先概述喉癌的发病与治疗情况,其次描述喉环状软骨上部分切除术的原理与特点,最后讨论喉环状软骨上部分切除术的最新应用进展。In recent years,the incidence of laryngeal cancer is on the rise.Surgical treatment is still the main treatment for laryngeal cancer.The surgical procedure is changed from the total laryngectomy,which originally ensures the complete removal of the tumor,to preserve the function of the larynx to the maximum extent and ensure the quality of life of the patient,while ensuring the complete excision of the tumor.However,the supracricoid partial laryngectomy (SCPL),which retains the ring scoop unit as a scaffold to reconstruct a new larynx,can completely excise the tumor while preserving the physiological functions of the larynx without requiring permanent tracheostomy.And without affecting the survival rate and local control rate under the premise of effectively improving the quality of life of patients,which has been widely used.This article first outlines the incidence and treatment of laryngeal cancer,followed by the description of the principle and characteristics of supracricoid partial laryngectomy,and finally discusses the latest application of SCPL.

关 键 词：喉肿瘤 环状软骨 外科手术 

分 类 号：R739.65[医药卫生—肿瘤]