70岁以上喉癌患者的手术治疗

Surgical treatment of laryngeal carcinoma in the elderly over 70

目的：探讨70岁以上喉癌患者手术的可行性及围手术期处理。方法：对28例70岁以上喉癌患者手术治疗进行回顾性分析。结果：28例中术前有并发症者23例（82．1％），以心血管系统疾患最多（60．7％），其次为呼吸系统疾患（25％）。全喉切除术15例，喉部分切除术12例，声带切除术1例；颈淋巴廓清术3例，无手术意外及死亡。术后并发症9例（32．1％）。结论：对70岁以上喉癌患者，只要适当地选择病例，妥善的围手术期处理，是能较好地耐受手术的。

To explore the possibility and perioperative management of laryngectomy in the elderly over 70. Method:The records of 28 patients of laryngeal carcinoma aged 70 and over treated with laryngectomy were reviewed. Result: Among the 28 cases, 23 cases (82.1 % ) had one or more concomitant diseases or laboratory abnormalities. Most of them were cardiovascular disorders (60. 7%) and respiratory disorders (25%). Total laryngectomy was performed in 15 cases. Partial laryngectomy was performed in 12 cases. Vocal cardectomy was performed in 1 case. The neck dissection was performed in 3 cases. No operative accident and death had happened in this group. The rate of postoperative complications was 32.1%. Conclusion:The elderly over 70 can tolerate laryngeal surgery well if the case is properly selected and careful perioperative management.