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目的 对保留喉功能的下咽癌切除手术进行回顾性分析。方法 对 1990～ 1994年间2 3例保留喉功能的下咽癌切除手术患者的手术效果、并发症、生存率、修复材料和方法等进行分析。结果 2 3例中并发症发生率为 34 8% (8/2 3) ,2 0例 (87 0 % )恢复了喉全功能 ,出院时 2 3例全部经口进食 ,吞咽成功率 10 0 %。术后平均经口进食时间为 11 8d(6～ 33d) ,术后平均住院 32d(14～ 94d) ,3年和 5年生存率分别为 73 9% (17/2 3)和 47 8% (11/2 3)。结论 下咽癌有效的术式能较满意地保留喉功能 ,提高患者的生存质量 ,对大多数下咽癌病例 ,是较为理想的方法。
Objective To retrospectively analyze the resection of laryngeal carcinoma with laryngeal function. Methods The surgical effects, complications, survival rates, repair materials and methods of 23 cases of laryngeal cancer patients with preserved laryngeal function during 1990-1994 were analyzed. Results The incidence of complications in 23 cases was 34.8% (8/2), 20 cases (87.0%) had full function of the larynx. At discharge, 23 cases were all orally ingested and the success rate of swallowing was 100% . The average postoperative oral intake time was 11 8 days (ranged from 6 days to 33 days) and average postoperative hospital stay was 32 days (14 to 94 days). The 3- and 5-year survival rates were 73 9% (17/2 3) and 47 8% 11/2 3). Conclusion The effective surgical procedures for hypopharyngeal carcinoma can satisfactorily preserve the laryngeal function and improve the quality of life of the patients, which is an ideal method for most cases of hypopharyngeal carcinoma.