喉声门上水平部分切除术治疗喉癌的远期疗效分析

发布时间：2018-03-11 02:24

本文选题：喉声门上水平部分切除术　切入点：生存率　出处：《中国全科医学》2017年S1期 　论文类型：期刊论文

【摘要】：目的总结喉声门上水平部分切除术治疗喉癌的疗效和经验。方法收集本院2002—2009年99例接受喉声门上水平部分切除术患者的临床资料。利用UICC2002标准分期,选择相应的淋巴结清扫术。对患者的5年生存率、术后并发症和喉功能进行评估。结果 99例患者中,有94例完成了5年随访,随访率为94.9%;死亡31例,5年总生存率为68.7%。经颈淋巴结病理检查示,无转移、有转移患者的术后5年生存率分别为76.2%、48.4%,两组比较差异有统计学意义(P0.05)。拔管率为88.9%,患者吞咽功能基本恢复,发音功能良好。主要并发症为局部感染,发生率为10.1%,抗感染均治愈。随诊发现致死原因主要为颈淋巴转移,14例(45.2%)。结论喉声门上水平部分切除术对部分声门上型喉癌具有理想的治疗效果,但是对于颈侧清扫术似乎需要更理想的选择标准。
[Abstract]:Objective to summarize the efficacy and experience of supraglottic partial laryngectomy in the treatment of laryngeal cancer. Methods the clinical data of 99 patients undergoing supraglottic partial laryngectomy from 2002 to 2009 were collected. The 5-year survival rate, postoperative complications and laryngeal function were evaluated. The follow-up rate was 94.9 and 31 cases died. The 5-year overall survival rate was 68.7. The pathological examination of cervical lymph nodes showed that there was no metastasis. The 5-year survival rate of the patients with metastasis was 76.2and 48.4, respectively. The difference between the two groups was statistically significant (P 0.05). The extubation rate was 88.9%. The patients' swallowing function was basically recovered and the pronunciation function was good. The main complication was local infection. The incidence rate was 10.1 and the anti-infection was cured. 14 cases of cervical lymphatic metastasis were found to be the main cause of death. Conclusion the supraglottic horizontal partial laryngectomy has an ideal therapeutic effect for partial supraglottic laryngeal carcinoma. But for the side neck dissection, it seems that a better choice is needed.
【作者单位】：云南省第一人民医院耳鼻喉科;
【分类号】：R739.65

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