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本文报告保守性手术治疗声门癌侵及杓状软骨病人的有效情况。这种病人共79例,男性70例,女性9例。8例为放疗无效者,2例术前已用放疗。79例均已进行半喉切除术及杓状软骨切除术,71例已进行3年随访。全部半喉切除的病人需切除杓状软骨者为79/281,占28％。这些病人经半喉切除术后,3年绝对存活为90％(61/67)。8例术后未满3年,6例有复发;3例发于局部,3例发于颈部。1例于治疗
This article reports the effectiveness of conservative surgical treatment of glottic carcinoma in patients with arytenoid cartilage. A total of 79 cases of this kind of patients, 70 males and 9 females. Eight patients had radiotherapy ineffective, and 2 patients had received radiotherapy before surgery. Ninety-nine patients underwent hemi laryngectomy and arytenoid cartilage resection. 71 patients had been followed for 3 years. The total hemi-throat resection of patients requiring removal of arytenoid cartilage was 79/281, accounting for 28%. After half-laryngectomy, these patients had an absolute survival of 90% (61/67) for 3 years. Eight patients had less than three years postoperatively, and 6 patients had recurrence; 3 patients developed localized and 3 patients developed neck infection. 1 case for treatment