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目的 :探讨喉部分切除术的疗效及修复方法。方法 :回顾分析 1 980至 1 999年施行喉部分切除术81例的临床资料 ,其中声门上型喉癌 2 2例、声门型喉癌 59例。结果 :声门上型喉癌 3、5年生存率分别为 6 6 .7%、6 3.2 % ,声门型喉癌 3、5年生存率分别为 87.2 %、80 .5 %。拔管率声门上型喉癌为 77.2 % (17 2 2 ) ,声门型喉癌为 93.2 % (5 5 5 9)。结论 :喉部分切除术能保留大部分患者喉的呼吸及发声功能 ,是根治喉癌的有效术式。
Objective: To investigate the efficacy and repair of partial laryngectomy. Methods: The clinical data of 81 cases undergoing partial laryngectomy from 1 980 to 1 999 were retrospectively analyzed, including 22 cases of supraglottic laryngeal cancer and 59 cases of glottic laryngeal cancer. Results: The 3 and 5-year survival rates of supraglottic laryngeal carcinoma were 66.7% and 62.2%, respectively. The 3-year and 5-year survival rates of glottic cancer were 87.2% and 80.5%, respectively. Extubation rate of supraglottic laryngeal cancer was 77.2% (17 2 2), glottic laryngeal cancer was 93.2% (559). Conclusion: Partial laryngectomy can retain the laryngeal respiratory function and vocal function of most patients and is an effective method to cure laryngeal cancer.