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本文报道了13例侵犯喉及气管的甲状腺癌的外科治疗。其中间变癌1例,未分化癌1例,其余均为乳头状癌,滤泡癌及二者混合型。根据癌肿侵及喉及气管的情况分别行全喉切除术、气管环切除端端吻合术、部分气管切除术及气管表层片切术。对不超过气管周径1/4及纵长不超过2.cm的气管缺损行局部组织瓣的修补。强调对累及喉及气管的病例,应行恰当处理,必须彻底切除,以获得满意疗效。本组病人1、3、5、10年生存情况分别为13/13、10/11、7/8、3/5。
This article reports the surgical treatment of 13 cases of thyroid cancer that invade the larynx and trachea. There were 1 case of metacarcinoma, 1 case of undifferentiated carcinoma, and the rest were papillary, follicular, and mixed. According to the cancer invasion of the larynx and trachea, the patients underwent total laryngectomy, tracheotomy, end-to-end anastomosis, partial tracheectomy, and tracheotomy. Local tissue flaps were repaired for tracheal defects that did not exceed 1/4 of the tracheal circumference and 2 cm in length. Emphasizing that cases involving the larynx and trachea should be handled properly and must be completely removed to obtain satisfactory results. The survival of patients in this group was 1, 3, 5, and 10 years, respectively 13/13, 10/11, 7/8, 3/5.