老年喉癌患者手术治疗后复发的相关因素探讨  

Study on the related factors of recurrence in geriatric patients with laryngeal cancer

作　　者：余晓旭[1] 袁霏[1] 冯勇[1] 马志跃[1] 陈学[1] 李彬[1] 

机构地区：[1]四川省医学科学院.四川省人民医院,四川成都610072

出　　处：《西部医学》2018年第1期103-105,109,共4页Medical Journal of West China

摘　　要：目的探讨老年喉癌患者手术治疗后复发的相关因素,为临床防治提供参考。方法选取2010年4月~2015年3月在我院耳鼻喉科接受手术治疗的145例老年喉癌患者进行回顾分析,探究患者术后复发的相关因素。结果145例喉癌患者术后复发23例(15.86%),其中,原位复发8例,局部复发4例,区域复发8例,气管造瘘口复发癌2例,远处(转移)复发1例。老年喉癌患者复发与治疗方案、切缘不净、累计前联合、颈部转移、浸及甲状软骨、肿瘤分期及肿瘤病理等因素密切相关。结论对于老年喉癌患者影响其预后的因素众多,临床上应早诊断、早治疗,并针对影响因素采取相应措施,可有效减少老年喉癌患者术后的复发。Objective To explore the related factors of surgical treatment of senile laryngeal cancer recurrence. Methods 145 geriatric patients with laryngeal cancer in our hospital ENT in five years （2010.4-2015.3） were reviewed and analyzed. The relevant factors of patients with postoperative recurrence were analyzed. Results There were 23 cases （15.86~） relapsed. The recurrence of geriatric patients with laryngeal cancer was closely related with treatment pro- grams, surgery margin without a net, accumulated pre^vocal combination, neck metastasis, tumor infiltration of thyroid cartilage, tumor stage and tumor pathology and other related factors. Conclusion For geriatric patients with laryngeal cancer, many factors can impact the prognosis. Early diagnosis, early treatment, and the influence factors of mentioned in the above results are reinforced to reduce postoperative recurrence of laryngeal cancer.

关 键 词：老年 喉癌 影响因素 复发 

分 类 号：R739.65[医药卫生—肿瘤]