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目的 :探讨Pearson术式在治疗晚期喉癌中的作用。方法 :采用Pearson术式治疗 2 8例晚期喉癌 ,对其中的 2 6例同期行颈清扫术或分区性颈清扫术。结果 :术后随访 3～ 5年 ,2 7例(96 .4 % )能发声 ,其中发声良好者 11例 ,一般 14例 ,差 2例。无一例误咽。 3年生存率为78.6 % ,5年生存率为 6 8.4 %。结论 :Pearson术式治疗晚期喉癌 ,既能保留喉的大部分功能 ,又能根治病变 ,提高了一部分传统上需做喉全切除术患者的生活质量。
Objective: To investigate the role of Pearson procedure in the treatment of advanced laryngeal carcinoma. Methods: Twenty - eight cases of advanced laryngeal cancer were treated with Pearson procedure. Twenty - six of them were treated with neck dissection or regional neck dissection at the same time. Results: After 3 to 5 years of follow-up, 27 (96.4%) were able to sound, including 11 with good sounding, 14 with fair and 2 with poor. No one swallowed. The 3-year survival rate was 78.6% and the 5-year survival rate was 6 8.4%. CONCLUSIONS: Pearson’s surgical treatment of advanced laryngeal carcinoma preserves most of the function of the larynx and also treats lesions and improves the quality of life of some patients who are traditionally required for laryngectomy.