喉癌部分喉切除术

Partial laryngectomy for patients of laryngeal cancer

目的 探讨喉癌部分喉切除术的方法。方法 总结 59例喉癌部分喉切除经验。其中喉裂开声带切除 2例 ;垂直喉部分切除 38例 ;水平喉部分切除 10例 ;次全喉切除加同侧颈廓清术 2例 ;水平喉部分切除加同侧颈廓清 7例。结果 本组病例的 3年生存率为83.8% ,5年生存率为 6 8.2 % ;59例中 56例顺利拔管 ;全部病人术后发音清晰 ,吞咽正常。结论 声门癌与声门上癌 (T1～T2 )病人行部分喉切除是更佳选择。

Objective To discuss partial laryngectomy for the treatment of laryngeal cancer. Methods Fifty-nine patients with laryngeal cancer who underwent partial laryngectomy were reviewed. Cordectomy was performed in 2 of the 59 cases, vertical partial laryngectomy in 38, horizontal partial laryngectomy in 10, sub-total laryngectomy combined with homolateral radical neck resection in 2, and horizontal partial laryngectomy combined with homolateral radical neck resection in 7. Results The 3-year survival rate was 83.8% and 5-year survival rate was 68.2%. All of the 59 patients restored the function of speech and swallow. Fifty-six of the 59 cases were extubated. Conclusion Partial laryngectomy is a preferable choice for patients with glottic carcinoma or supraglottic carcinoma (T 1～T 2).