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目的:探讨喉癌复发的相关因素和治疗效果。方法:选择2005年5月-2009年6月喉癌复发病例72例。对所有患者的临床资料进行Logistic多元回归分析并对手术疗效进行观察。结果:肿瘤发生部位、肿瘤分期、治疗方式、有无颈部淋巴结转移因素与喉癌术后复发存在相关性。喉癌再次手术的3年生存率为26.4%;5年生存率为1.9%。结论:喉癌复发的预后较差,为了较少喉癌的复发,在首次手术前医师需经过详细的评估,订出适宜的手术治疗方案,减少喉癌复发的可能性。
Objective: To investigate the relapse factors and therapeutic effects of laryngeal cancer. Methods: 72 cases of laryngeal cancer recurrence were selected from May 2005 to June 2009. The clinical data of all patients were analyzed by Logistic regression analysis and the curative effect was observed. Results: There were correlations between tumor location, tumor staging, treatment modality, presence or absence of cervical lymph node metastasis and postoperative recurrence of laryngeal cancer. The 3-year survival rate of reoperation for laryngeal cancer was 26.4% and the 5-year survival rate was 1.9%. CONCLUSIONS: The prognosis of laryngeal cancer recurrence is poor. In order to reduce the recurrence of laryngeal cancer, the physician needs to undergo a detailed assessment before the first surgery to determine the appropriate surgical treatment plan and reduce the possibility of recurrence of laryngeal cancer.