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一、声带中1/3肿瘤:按国际防癌协会分类,此类肿瘤属T_(1a),采用手术或放射疗法。声带切除术:甲状软骨切开术后,切除声带直达下方的软骨。为安全计,需行气管切开术。作者对50岁以下病人行此种手术,基于其年岁关系,不主张行放射治疗。疗效是存活三年者(23/25)占92%,存活五年者(14/20)占70%。此组病人在3～5年中,4例患肺癌;3例术后三年复发。局部治疗失败率为15%(5/33)。二、双侧声带广泛性肿瘤:此类肿瘤属于分类中的T_(1b),由内窥镜检查可确定系双侧声带的表浅肿瘤,未向深部扩展到前联合。多用放射疗
First, 1/3 of the vocal cords: According to the International Anti-Cancer Association, these tumors are T_(1a) and use surgery or radiation therapy. Vocal cord resection: After the thyroid cartilage is cut, the vocal cords are removed directly to the cartilage below. For safety, tracheotomy is required. The authors do this surgery for patients under the age of 50 and do not advocate radiation therapy based on their age-year relationship. The curative effect was 92% of those who survived for three years (23/25), and 70% of those who survived for five years (14/20). This group of patients in 3 to 5 years, 4 cases of lung cancer; 3 cases of recurrence after 3 years. The local treatment failure rate was 15% (5/33). Second, bilateral vocal cord broad tumors: These tumors belong to the classification of T_(1b), by the endoscopic examination to determine the Department of bilateral vocal cord superficial tumors, did not extend to the former deep joint. Multi-use radiation therapy