保留会厌的环状软骨上部分喉切除术及喉功能重建的回顾性分析
[Retrospective analysis of supracricoid partial laryngectomy with epiglottis preserved and reconstruction of laryngeal function].
作者信息
Li B, Xu S, Li D, Wang J, Wang M
机构信息
Department of Oncological Surgery, Tai'an City Central Hospital, Tai'an 271000, China.
出版信息
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2001 Aug;36(4):258-60.
OBJECTIVE
To retrospectively evaluate the curative and functional consequences of supracricoid partial laryngectomy with epiglottis preserved.
METHODS
From 1980 to 1996, 78 patients underwent supracricoid partial laryngectomy with the epiglottis preserved. The survival rate and the functional results were analyzed.
RESULTS
Overall three-year survival rate was 87.2%(68/78), overall five-year survival rate was 75.6% (59/78), and ten-year survival rate was 21.1% (8/38). All patients resumed normal oral feeding. 97.4% (76/78) achieved tracheal extubation. Respiratory and speaking functions were good.
CONCLUSION
Supracricoid partial laryngectomy with epiglottis preserved and reconstruction of laryngeal function not only improved local cancer control, but also preserves laryngeal physiologic function.
目的
回顾性评估保留会厌的环状软骨上部分喉切除术的疗效及功能结果。
方法
1980年至1996年，78例患者接受了保留会厌的环状软骨上部分喉切除术。分析生存率和功能结果。
结果
总体三年生存率为87.2%（68/78），总体五年生存率为75.6%（59/78），十年生存率为21.1%（8/38）。所有患者均恢复正常经口进食。97.4%（76/78）实现气管拔管。呼吸及发声功能良好。
结论
保留会厌的环状软骨上部分喉切除术及喉功能重建不仅提高了局部癌症控制率，还保留了喉的生理功能。
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