喉癌喉部分切除术201例临床分析

Analysis of Partial Laryngectomy in 201 Patients with Laryngeal Carcinoma

１９８７年至１９９２年５月采用喉部分切除术治疗喉癌２０１例，随访５年共１７８例，其中声门型１４２例，声门上型３１例，贯声门型５例。３年生存率为８１０９％，５年生存率为＞０１４％。随访５年１７８例中拔管率为８１４％，误咽发生率仅为０５６％。局部复发１９例。颈淋巴结转移复发癌１５例。讨论了喉部分切除术在喉癌治疗中的作用；术后喉腔修复；术后局部癌复发原因分析及颈廓清术等问题。认为喉部分切除术在喉癌外科治疗中应为理想的手术。

Partial laryngectomy was designed both to perserve the function of larynx and to therough removal of the tumor.A 5 years(1987～1992)surgical experience of partial laryngectomy with 201 cases was reviewed.During the follow up,23 cases were lost,and were followed up for a mean of 5 years in which 178 cases finished it,142 glottic cancer,31 supra glottic cancer,and 5 trausglottic cancer.The 3 year Servival rate was 81 5% and 5 year servial rate was 70 14%.The decanulation rate was 81 4% and the aspiration rate was 0 56%.In these cases,19 had local reccurence and 15 cases had reccurence of metastasis cervical lymph node.The depree of partial laryngectomy,the reason of local reccurence and the appllication of modified nede dissection were discussed.I was concluded that partial laryngectomy should be popularized because of its good curative effect.