喉癌的治疗分析（附247例报告）

Treatment of Larynx Cancer. An Analysis of 247 Cases

治疗喉癌的目的一是提高生存率，二是提高生存质量。总结１９８４年１月～１９８９年１月我院收治２４７例喉癌患者并对其治疗及疗效进行分析。非随机分组。总的５年生存率为４１％。生存与病变部位、期别、淋巴结转移等情况有关。喉癌的治疗方法和方案选择极其重要。声门区早期病变，放射治疗与手术治疗５年生存均为７１％（Ｐ＞０．０５），应以放疗为主；声门上区病变，手术治疗与放射治疗５年生存分别为５６％、２３％（Ｐ＜０．０５），应采用手术治疗或术前辅以放疗的综合治疗。

The purpose of therapy for patients with laryngeal carcinoma is improvement of survival rate and preservation of good life quality.From January 1984 to January 1989,247 patients with laryngeal carcinoma were treated at our hospital.The over-all five-year survival rate was 41%.The prognostic factors influencing survival were tumor location, stage and lymph node involvement.The main treatment modalities were surgery and radiotherapy.The five-year survival rates in surgery and irrdiation groups with early stage glottic lesion were the same(71%,P>0.05).Therefore, radiation therapy can be the first-choice for glottic lesions.The five-year survival rates for supraglottic lesions treated by surgery or irradiation were 56% and 23% respectively(P<0.05).So surgery and preoperative radiation should be used for supraglottic carcinoma.