简易气管造瘘术和气管切开术在喉癌及下咽癌手术方案中对保留喉功能的效果  

Effect of Simple Trachea Ostomy and Tracheotomy on Reservation of Laryngeal Function in Patients with Laryngeal Carcinoma and Hypopharyngeal Carcinoma

作　　者：韦福依[1] 

机构地区：[1]广西百色市人民医院,533000

出　　处：《实用癌症杂志》2016年第11期1899-1901,共3页The Practical Journal of Cancer

摘　　要：目的比较简易气管造瘘术和气管切开术在喉癌及下咽癌中对保留喉功能的疗效。方法选择60例喉癌及下咽癌患者,随机分为观察组(n=30)和对照组(n=30),观察组患者进行简易气管造瘘术,对照组患者进行气管切开术,比较2组患者术中气切手术时间、出血量和手术总时间及2组患者术后第1年、第3年、第5年的生存率。结果观察组和对照组进行气切手术时间的差异无统计学意义(P>0.05),而观察组患者术中出血量和手术总时间均低于对照组。观察组术后并发症发生率明显低于对照组术后并发症发生率(P=0.012)。术后第1年、第3年、第5年观察组患者的生存率均高于对照组,差异均具有统计学意义(P<0.05)。结论与传统气管切开术相比,简易气管造瘘术能明显减少术中出血量和手术总时间,降低术后并发症发生率,提高患者术后生存率。Objective To compare the efficacy of simple trachea ostomy and tracheotomy on reservation of laryngeal function in patients with laryngeal carcinoma and hypopharyngeal carcinoma.Methods 60 patients with laryngeal and hypopharyngeal carcinoma were randomly divided into the observation group（ n = 30） and the control group（ n = 30）,the observation group underwent simple trachea ostomy and the control group underwent tracheotomy.Operation time,total amount of bleeding,surgical time,1-,3-,5-year survival rates of the 2 groups were compared.Results Operation time of the 2 groups had no significant difference（ P 0.05）,while the total amount of bleeding,surgical time in the observation group were lower than those of the control group.The incidence of postoperative complications in the observation group was significantly lower than that of the control group（ P = 0.012）.1-,3-,5-year survival rates in the observation group were higher than those of the control group,there had statistically significant difference（ P 0.05）.Conclusion Compared with conventional tracheotomy,simple trachea ostomy can significantly reduce blood loss,operation time and incidence of postoperative complications,and improve survival rate.

关 键 词：简易气管造瘘术 气管切开术 喉癌 下咽癌 喉功能 

分 类 号：R739.65[医药卫生—肿瘤]