43例喉复发转移癌的手术治疗  

Surgical Management of Laryngeal Carcinoma with Recurrence and Metastasis

作　　者：张立强[1] 潘新良[1] 郝培兰[1] 解光[1] 栾信庸[1] 王天铎[1] 

机构地区：[1]山东大学齐鲁医院耳鼻咽喉科,济南市250012

出　　处：《中国肿瘤临床》2004年第6期322-325,共4页Chinese Journal of Clinical Oncology

摘　　要：目的:探讨喉复发转移癌的手术治疗方法及临床疗效。方法:对1981年1月至2001年7月43例喉复发转移癌患者进行手术治疗。根据病变的不同情况采用颈清扫、喉部分切除术、全喉切除术、全咽喉食管切除术等,以胸大肌肌皮瓣、胸三角皮瓣、裂层皮片、胃上提、喉气管瓣等修复组织缺损。结果:自首次手术时计算,3年生存率为60.47%,5年生存率为41.89%。95.35%(41/43)的患者恢复了较好的吞咽功能。29例喉部分切除术后局部复发的7例患者保留了喉功能。结论:对喉复发转移癌行积极的手术治疗对提高患者的生存期和改善患者的生存质量有重要意义。Objective: To study effcetive treatment of laryngeal carcinoma with recurrence and metastasis. Methods: 43 cases laryngeal carcinoma with recurrence and metastasis underwent operation from 1981 to 2001. The choice of surgical procedures varied with different pathologic and clinical conditions. The repairation of surgical defects included pectoralis major myocutanous flap, delto-ectopectoralis flap, split skin flap, stomach flap and laryngotracheal flap. Results: From the time of the first operation, the 3-and 5-year survival rates were 60.47% and 41.89%, respectively. 95.35% had normal pharyngeal functions, 7 cases restored laryngeal function. Conclusion: A proper surgical treatment of laryngeal carcinoma with recurrence and metastasis can prolong the lifetime and advance the life quality of the patients.

关 键 词：喉切除术 喉肿瘤 肿瘤复发 转移 

分 类 号：R739.6[医药卫生—肿瘤]