声带切除治疗T_1～T_2期声门型喉鳞癌的临床观察

Cordectomy for Early Glottic Squamous Cell Carcinoma

目的 探讨声带切除术治疗早期声门型喉癌的临床疗效。方法 回顾性分析 1994年 1月～2 0 0 0年 4月在我院接受声带切除术的 31例声门型喉鳞癌 (T1期 2 5例、T2 期 6例 )患者。结果 所有患者术后喉腔形态基本恢复正常 ,气管套管拔管率 10 0 % ,拔管时间中位数 6天 ;术后进食均无误咽现象 ,恢复经口进食时间中位数 5天 ;96 .4 %的患者对自己术后声音质量表示满意。 31例患者中 ,2 9例术后病理切缘阴性 ;局部无复发者 2 8例 ;随访中无患者发生近远处转移。其 3、5年局部控制率均为 90 .3%。结论 对于早期声门型喉癌 ,声带切除术不失为一种可供选择的较理想的外科治疗方法。

Objective To evaluate the role of cordectomy to treat early glottic squamous cell carcinoma. Methods Retrosecpective review of 31 patients with glottic squamous cell carcinoma (T 1,n=25; T 2,n=6) treated with cordectomy from January 1994 to April 2000 at this institute. Results The postoperative laryngeal cavity morphology of the all patients nearly restored to normal. All patients were decannulated and median time to decannulation was 6 days. Aspiration occurred in no patient and median time needing nasogastric feeding tube was 5 days. 27 patients ( 96.4%) were satisfied with their voice quality. Clear margins were achieved in 29 out of 31 patients. 28 patients had no local laryngeal recurrence. Both regional and distant metastasis occurred in no patients. The 3-year and the 5-year local control rate estimated according to Kaplan-Meier were 90.3%. Conclusion Cordectomy is a useful method to treat early glottic squamous cell carcinoma.