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喉癌的预防很大程度上取决于对癌前病变(增生性喉炎、厚皮病、白斑、乳头状瘤病)的及时根治。作者1980~1986共治27例男性喉乳头状瘤病成人,入院后经直达喉镜、纤维喉镜、喉动态镜检查,以便确诊和判断肿瘤部位和范围,结果全部病例均局限于一侧声带,在气管内麻醉下行喉裂开声带切除术,术中冰冻切片证实10例有Ⅰ期癌表现,4例乳头状瘤有Ⅲ级细胞分化不良(dysplasia),余13例确诊为乳头状瘤,可见成人喉乳头状瘤病的恶变倾向高,应及时手术根治。作者1980~1982年
The prevention of laryngeal cancer largely depends on the timely eradication of precancerous lesions (proliferative laryngitis, pachyderma, leukoplakia, papillomatosis). The authors treated a total of 27 adult male patients with laryngeal papillomatosis from 1980 to 1986. After admission, they received direct laryngoscope, fiberoptic laryngoscopy, and laryngeal dynamic microscopy to diagnose and determine the location and extent of the tumor. As a result, all cases were limited to one side of the vocal cords. In the trachea anesthesia, throat-sparing vocal cord resection was performed. Intraoperative frozen section confirmed 10 cases of stage I cancer, 4 cases of papilloma had grade III cell dysplasia, and the remaining 13 cases were diagnosed as papilloma. Visible malignant transformation of adult laryngeal papillomatosis, surgery should be radical. 1980-1982