el Shennawy M, Fayek A, el Sharkawy L
Cairo University, Department of Otorhinolaryngology, Faculty of Medicine, Kasr el-Aini, Egypt.
Rev Laryngol Otol Rhinol (Bord). 2000;121(2):117-20.
This is a retrospective and a prospective study of 435 laryngectomized patients at the department of Otolaryngology, Cairo University, between 1987 and 1997. The authors analyze the data of 26 patients who returned with peristomal recurrence. A statistical analysis was performed to determine the correlation between peristomal recurrence, and the site of the primary tumor, its stage, the presence of nodal metastases and the performance of an emergency tracheostomy more than 48 hours before surgery. In this study, peristomal recurrence occurred in about 6% of our laryngectomized patients. A significant correlation was found between peristomal recurrence and the involvement of the subglottic area, T4 stage of the primary tumor and nodal metastases. No correlation was found between peristomal recurrence and emergency tracheostomy.
这是一项对1987年至1997年间开罗大学耳鼻喉科的435例喉切除患者进行的回顾性和前瞻性研究。作者分析了26例出现造口周围复发患者的数据。进行了统计分析，以确定造口周围复发与原发肿瘤部位、分期、淋巴结转移情况以及术前48小时以上进行紧急气管切开术之间的相关性。在本研究中，约6%的喉切除患者发生了造口周围复发。发现造口周围复发与声门下区受累、原发肿瘤T4期以及淋巴结转移之间存在显著相关性。未发现造口周围复发与紧急气管切开术之间存在相关性。
