单纯声带肿瘤切除术治疗声门型喉癌

Cordectomy for Treatment of Golttic Laryngocarcinoma

目的 :最大程度地保留和恢复声门型喉癌术后患者的生理功能 ,提高其术后生活质量。方法 :自 1998年— 2 0 0 3年对 2 3例声门型喉癌或室带、勺区受侵犯的喉癌患者 ,采用声带切除或声带切除加部分室带、勺区肿瘤切除 ,利用室带、勺区黏膜修复创面成型喉腔 ,术后加放疗的方法治疗声门型喉癌。结果 :术后 3年生存率 10 0 % ,术后 5年随访 ,除 1例未满 5年仍在随访外 ,其余 2 2例均未见肿瘤复发。术后发音功能良好。结论

Objective: To do our best to reserve and restore postoperative function of patients with glottic carcinoma of larynx and improve the patient's life. Method: From 1998 to 2003, 23 cases with glottic laryngocarcinoma or invaded ventricular bands or ventricular laryngis received cardectomy or cardectomy with partial ventriculocordectomy. Mucosa on ventricular bands and in aryepiglottic region was used to perform laryngoplasty, and postoperatively radiation was added. Result: 3 years postoperative survival rate was 100%. At 5 year's follow-up, except for 1 case whose postoperative duration was shorter than 5 years, recurrence was not found in other 22 cases, with good voice function in all cases. Conclusion: Cordectomy and postoperative radiation was a good minimally invasive method for glottic larygocarcinoma.