喉癌切除术式与喉功能重建的临床分析  

A Clinical Analysis of the Pattern of Laryngectomy and the Reconstruction of Laryngeal Function

作　　者：钱欣梅[1] 江继贤[1] 季念英[1] 

机构地区：[1]山东省济宁市第一人民医院耳鼻咽喉科,272111

出　　处：《中国眼耳鼻喉科杂志》2003年第3期155-156,178,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨喉癌切除术式与术后喉功能重建及生存率之间的关系。方法对1975～1997年间收治的有完整随访资料的95例喉癌手术患者的喉功能恢复及生存率进行分析。结果 97.89%(93/95)的患者吞咽功能良好,80%(76/95)发音良好,拔管率为59.46%(22/37),喉全切除术3、5年生存率分别为83.33%;76.67%。喉部分切除术3、5年生存率分别为77.14%、71.42%。按临床分期计生存率为:3、5年生存率,Ⅰ～Ⅱ期患者为83.93%、82.14%;Ⅲ～Ⅳ期患者为76.92%、64.10%。结论喉癌术式的选择是非常重要的,它与术后喉功能重建和生存率密切相关。Purpose To investigate the relationship of the laryngectomy to reconstruct laryngeal function and survival rate. Methods We had a retrospective review of ninety-five patioents with laryngeal carcinoma who were treated by surgery (total laryngectomy in 58, Arslans laryngectomy in 2, near-laryngectomy in 6,and partial laryngectomy in 29) from 1975 to 1997 in our hospital to study the relationship between laryngectomy and larynx reconstruction and survival rate. Results 76 cases had understandable speech, their swallow function was good in 97 .89% and their postoperative decarnulation rate was 59.46% in partial laryngectomy (22/73) ,The 3-year, 5-year survival rates were 83.33% and 76.67%, respectively in total laryngectomy and 77.14% and 71.42% in partial laryngectomy; among them 83.93% and 82. 14% were in stage Ⅰ and Ⅱ, and 76.92% and 64.10% were in stage Ⅲ and Ⅳ . Conclusion Selection of laryngectomy is very important, and larygx reconstruction and survival rate of patients with laryngectomy are closely related.

关 键 词：喉癌 切除术 喉功能重建 临床分析 

分 类 号：R739.65[医药卫生—肿瘤]