论文部分内容阅读
目的 :探讨喉声门上水平切除术及术后放射治疗对声门上型喉癌的疗效。方法 :对1980～1992年间在我科行喉声门上水平切除术的72例声门上型喉癌患者的临床资料进行回顾性分析。72例中男性35例 ,女性37例 ;年龄42～76岁 ,平均59 6岁。T1 ～T2 病变65例(占90 3 %) ,NO 64例(占88 9%)。气管套管拔除率为100 %。结果 :本组病例5年生存率为84 7 % ,术后均恢复呼吸功能 ,经口进食训练后均恢复了吞咽功能。结论 :声门上型喉癌T1、T2 及部分T4 病变应行喉声门上水平切除术 ,对NO 的病例也应同期行选择性颈深上淋巴结清除术。如病变广泛或肿瘤距切缘较近 ,术后应采用放疗及化疗等综合治疗
Objective: To investigate the effect of horizontal laryngectomy and postoperative radiotherapy on supraglottic laryngeal carcinoma. Methods: The clinical data of 72 patients with supraglottic laryngeal cancer who underwent horizontal resection of the glottic door from 1980 to 1992 were analyzed retrospectively. Of the 72 patients, 35 were male and 37 were female, ranging in age from 42 to 76 years (mean 59.6 years). T1 ~ T2 lesions in 65 cases (90 3%), NO 64 cases (88 9%). Tracheal tube removal rate was 100%. Results: The 5-year survival rate of this group was 84.7%. Respiratory function was recovered after operation and the swallowing function was recovered after oral feeding training. Conclusions: Throat and supraglottic resection should be performed on T1 and T2 and some T4 lesions of supraglottic laryngeal cancer, and selective deep cervical lymph node dissection should be performed in the same time. Such as extensive lesions or tumor closer to the margin, postoperative radiotherapy and chemotherapy should be used and other comprehensive treatment