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目前喉癌的治疗仍以外科切除为主。临床上我们依据不同适应症,采用三种不同的术式行喉垂直切除并同期行喉功能重建,疗效满意。现报告如下: 1 资料与方法 1.1 临床资料本组25例,男23人,女2人。年龄24-72岁。病理类型:鳞癌22例,未分化癌2例。腺癌1例。按UICC喉癌TNM分期,T_2NoMo 5例。T_3NoMo18例。T_4NoMo 2例。 1.2 手术方法 1.2.1 垂直喉侧前大部切除术(13例)(1)适应症:一侧声带癌向前累及或稍超过前联合,向声门下扩展不超过0.5cm,患侧声带活动正常或稍受限。(2)手术范围:
The treatment of laryngeal cancer is still the main surgical excision. Clinically, we based on different indications, the use of three different surgical vertical thoracotomy and laryngeal reconstructive function over the same period, the effect is satisfactory. Now report as follows: 1 Materials and Methods 1.1 Clinical data The group of 25 patients, 23 males and 2 females. Age 24-72 years old. Pathological type: squamous cell carcinoma in 22 cases, undifferentiated carcinoma in 2 cases. A case of adenocarcinoma. According to UICC laryngeal TNM staging, T_2NoMo 5 cases. T_3NoMo18 cases. T_4NoMo 2 cases. 1.2 Surgical approach 1.2.1 vertical laryngectomy (13 cases) (1) Indications: the side of the vocal cord cancer forward or slightly more than before the joint expansion to the subglottic does not exceed 0.5cm, ipsilateral vocal cord activity Normal or slightly limited. (2) surgical range: