老龄喉癌患者喉近全切除术远期疗效观察  

Long-term follow-up result of near-total laryngectomy in senile patients with laryngeal carcinoma

作　　者：戚建伟[1] 方如平[1] 王长宽[1] 陈荣荣[1] 

机构地区：[1]南京医科大学附属南京第一医院耳鼻咽喉-头颈外科,南京210006

出　　处：《临床耳鼻咽喉科杂志》2003年第12期714-715,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的 :探讨老龄喉癌患者行喉近全切除术的远期疗效。方法 :对 12例 6 5岁以上喉癌患者行喉近全切除术 ,在Pearson手术基础上 ,保留部分环状软骨板、环杓关节及喉返神经。结果 :3、5年生存率为 75 .0 %及6 6 .7%。术后 2周内全部恢复吞咽功能。 10例获得理想发声 ,2例发声失败。结论 :对于有心、肺、脑等基础疾病的老龄喉癌患者 ,喉近全切除术是一种较好的方法。Objective:To study the long term follow up result of near total laryngectomy in senile patients with laryngeal carcinoma.Method:Twelve patients who were above 65 years old and underwent near total laryngectomy from 1990 to 1996 were summarized.Twelve patients with quamous cell carcinoma of larynx were conformed. We adopted and improved Parson's operation, remained normal side cricoid cartilage plate,cricoarytenoid joint and recurrent laryngeal nerve.Result:Three year and five year survival rates were 75.0 % and 66.7 % respectively. All patients had good swallowing founction in two weeks after operation. Ten patients obtained good speech function.Conclusion:The authors believed that near total laryngectomy was safe and beneficial to senile patients with laryngeal cancers who suffered from foundermental disease in heart, lung or brain.

关 键 词：喉肿瘤 老年人 喉切除术 生存率 

分 类 号：R739.65[医药卫生—肿瘤]