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目的 探讨喉癌部分喉切除术的方法。方法 总结 59例喉癌部分喉切除经验。其中喉裂开声带切除 2例 ;垂直喉部分切除 38例 ;水平喉部分切除 10例 ;次全喉切除加同侧颈廓清术 2例 ;水平喉部分切除加同侧颈廓清 7例。结果 本组病例的 3年生存率为83.8% ,5年生存率为 6 8.2 % ;59例中 56例顺利拔管 ;全部病人术后发音清晰 ,吞咽正常。结论 声门癌与声门上癌 (T1～T2 )病人行部分喉切除是更佳选择。
Objective To investigate the method of laryngectomy for partial laryngectomy. Methods 59 cases of laryngeal laryngectomy experience. There were 2 cases of laryngectomy with vocal cord excision, 38 cases of vertical laryngectomy, 10 cases of horizontal laryngectomy, 2 cases of subtotal laryngectomy plus ipsilateral neck dissection, and 7 cases of horizontal laryngectomy and ipsilateral neck clearance. Results The 3-year survival rate was 83.8% and the 5-year survival rate was 6 8.2%. Fifty-six of 59 cases were successfully extubated. All patients had clear articulation and had normal swallowing. Conclusions Partial laryngectomy is the better choice for patients with glioma and supraglottic carcinoma (T1 ~ T2).