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西班牙Santa Crucer医院,1969~1981年收治喉癌416例,作者对20项临床和病理学指标进行评价,其中14项影响生存率,5项单独影响存活,即:阳性淋巴结、T级别、病理类型、溃疡和部位。全部患者均于术前放疗50~60Gy。患者均为男性,平均年龄58.4岁(21~87岁);60岁以上预后明显不好(P=0.0204)。除6人外均有吸烟习惯,吸烟每年42包以上者预后明显差(P=0.0234)。147例(41.8%)声带活动正常,101例(24.3%)声带活动受限,余141例(33.9%)声带固定。声带固定组预后比另两组差(P=0.0001)。93例
Santa Crucer Hospital, Spain, 416 cases of laryngeal cancer from 1969 to 1981, the author of 20 clinical and pathological indicators were evaluated, of which 14 affected the survival rate, 5 items alone affected survival, namely: positive lymph nodes, T levels, pathological types , ulcers and parts. All patients received radiotherapy 50-60 Gy before surgery. All patients were male, with an average age of 58.4 years (21 to 87 years); the prognosis was significantly worse at 60 years of age (P=0.0204). In addition to smoking habits of 6 people, the prognosis of smoking more than 42 packs per year was significantly worse (P=0.0234). 147 patients (41.8%) had normal vocal cord activity, 101 (24.3%) had limited vocal cord activity, and 141 (33.9%) had vocal cord fixation. The vocal cord fixation group had a worse prognosis than the other two groups (P=0.0001). 93 cases