喉部分切除术173例疗效观察  

Clinical observation of 173 cases of partial laryngectomy

作　　者：夏立军[1] 皇甫辉[1] 杨向茹[1] 王斌全[1] 

机构地区：[1]山西医科大学第一医院耳鼻咽喉科,太原030001

出　　处：《临床耳鼻咽喉科杂志》2002年第7期344-345,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨喉部分切除术治疗喉癌的疗效。方法 :1 73例喉癌患者均行喉部分切除术 ,其中垂直半喉切除术 4 9例 ,水平半喉切除术 39例 ,额侧切除术 4例 ,保留会厌及甲状软骨板后 1 /3的扩大喉切除术 4 7例 ,喉近全切除术 (Pearson手术 ) 1 7例 ,喉近全切除环舌根吻合术 1 7例。结果 :1 6 8例恢复发音功能 ,1 4 5例 3个月内拔除气管套管。 3、5年生存率分别为 79.77%、6 9.94 % ,局部复发率为 1 8.5 0 %。结论 :进行喉部分切除一定要严格掌握各种术式的适应证 ,正确选择术式。在重建喉时 ,尽量恢复喉的发音。Objective:To summarize and study the clinical effect of partial laryngectomy on laryngeal neoplasms.Method: 173 cases of partial laryngectomy were performed. 6 kinds of operations were performed, 49 vertical laryngectomy, 39 supraglottic laryngectomy, 4 frontolateral laryngectomy, 47 extended partial laryngectomy ( with reservation of epiglottis and posterior part of thyroid cartilage), 17 pearson's surgery, 17 near total laryngectomy with cricoglossal anastomosis.Result: 168 cases restored their phonation, 145 cases were decannulated in three months after operations. The survival rates of three and five year was 79.77 % and 69.94 %, the local relapsing rate was 18.50 %. Conclusion: Successful partial laryngectomy based on strict indications and correct operation choices. While the laryngeal function was reconstructed, it is necessary to restore the phonation, sphincter and respiratory function.

关 键 词：喉肿瘤 喉切除术 喉功能重建 

分 类 号：R739.65[医药卫生—肿瘤]