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喉癌治疗如何达到保存功能,于最近受到了重视。本文就喉癌的早期发现、化疗效果和全喉切除术后功能重建等问题做一介绍。1.流行病学及治疗成绩喉癌占全身癌瘤的1.2%,每10万人患病率为2.4,在日本较少见,占头颈部肿瘤的30%,高龄患者有增加趋势,男女为9∶1,吸烟者占97.7%。由于抗生素的问世和超高压电子加速器的应用,喉癌的预后于50年代有显著改善,70年代出现飞躍,但是到80年代未见再提高。早期发现和改进T_3和T_4型的疗效,是今后的课题。
How to achieve preservation of laryngeal cancer has recently received attention. This article will introduce the early detection of laryngeal cancer, chemotherapy effects and functional reconstruction after total laryngectomy. 1. Epidemiology and treatment performance Laryngeal cancer accounts for 1.2% of total body cancers, and the prevalence per 100,000 people is 2.4. It is rare in Japan and accounts for 30% of head and neck cancers. There is an increasing trend among older men and women. At 9:1, smokers accounted for 97.7%. Due to the advent of antibiotics and the use of ultra-high voltage electron accelerators, the prognosis of laryngeal cancer has improved significantly in the 1950s and has taken a leap in the 1970s, but it has not increased again in the 1980s. The early detection and improvement of the therapeutic effects of T3 and T4 is a topic for the future.