喉癌术后放疗356例临床分析

Clinical Analysis of 356 Patients with Laryngeal Cancer Treated with Postoperative Radiotherapy

目的分析影响喉癌术后放疗的预后因素。方法应用回顾性调查的方法,对356例喉癌患者进行生存分析,统计患者的生存率和死亡原因。结果全组患者总的5 a生存率为74.8%,10 a生存率为62.5%,15 a生存率为48.6%,20 a生存率为30.1%。分期和颈部淋巴结转移与否是影响治疗效果的因素。结论术后放疗在喉癌治疗中有重要价值,提高了中晚期喉癌特别是有高危因素患者的5 a生存率;分期和颈部淋巴结转移与否是影响预后的因素。

Objective To analyze the prognostic factors on laryngeal cancer treated with postoperative radiotherapy. Methods A retrospective survey methods was used to analyze the survival of 356 patients with laryngeal cancer, and the survival rates and causes of death were observed. Results The overall 5-year, 10-year, 15-year,20-year survival rates were 74.8% ,62.5% ,48.6% and 30.1%. Staging and lymph node metastasis were prognostic factors on laryngeal cancer treated with postoperative radiotherapy. Conclusion Postoperative radiotherapy has the important value in the treatment of laryngeal cancer; staging and lymph node metastasis are prognostic factors on laryngeal cancer treated with postoperative radiotherapy.