论文部分内容阅读
目的 :进一步探讨贯声门癌临床存在的意义。方法 :分析 86例贯声门癌的临床表现、手术、颈转移、组织病理学研究及随访资料。结果 :贯声门癌有别于声门上、声门型喉癌 T2 、T3期。其中行全喉切除术 6 3例 ,次全喉 9例 ,扩大垂直半喉 14例 ;同期行颈廓清术 47例。术中见 ,>2 cm的贯声门癌 5 8%侵及喉骨架 ,46 %扩展至喉外 ,以及 71%的颈转移。随访 5年生存率 5 5 .4% ,10年 2 9.7% ,≥ 15年 18.9%。结论 :贯声门癌作为临床的一种特殊类型有实际意义 ;声门旁间隙的局部解剖特点是导致贯声门癌易广泛扩展和颈转移的原因 ;对贯声门癌的治疗原则应是在手术同时行选择性颈廓清 ,术后补充放疗。
Objective: To further explore the clinical significance of stomatognosis. Methods: The clinical manifestations, surgical, cervical metastasis, histopathology and follow-up data of 86 cases of stalk cancer were analyzed. Results: Stomatognathic cancer is different from the glottis, glottic laryngeal cancer T2, T3 period. There were 63 cases of total laryngectomy, 9 cases of sub-total laryngectomy and 14 cases of vertical half-laryngeal enlargement. In the same period, 47 cases of cervical excercise were performed. Intraoperative findings,> 2 cm of stomatal cancer 58% invasion and laryngeal skeleton, 46% extended to the throat, and 71% of cervical metastases. The follow-up 5-year survival rate was 5.54%, 10 years and 9.7%, ≥ 15 years and 18.9%. CONCLUSIONS: Stomatognathic cancer is of practical significance as a special type of clinic. The local anatomic features of the paravalvular gland are the reasons for the widespread expansion of stomatognosis and neck metastasis. The treatment of stalk cancer should be based on At the same time in the operation of selective neck clearance, postoperative radiotherapy.