Ji W, Wang Z, Fei S
Department of Otorhinolaryngology, First Hospital, China Medical University, Shenyang 110001, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2000 Apr;35(2):136-7.
To evaluate the adequacy of horizontal-vertical partial laryngectomy in the treatment of advanced laryngeal cancer.
We retrospectively reviewed 57 patients with advanced laryngeal cancer (T3 or T4 on the primary site) treated by horizontal-vertical hemilaryngectomy. Fifty-six patients underwent neck dissections.
The overall 3- and 5-year survival rates were 70% (40/57) and 64% (32/50), respectively. All patients had good phonation and resumed mouth-feeding after surgery. Among all the deaths, 4 died of recurrence of laryngeal cancer, 4 cervical metastasis, 4 distant metastasis, 2 intercurrent disease and 3 unknown. Of 36 patients with N0 neck, fifteen cases (15/36, 41.6%) had lymph node metastases pathologically.
Horizontal-vertical hemilaryngectomy is satisfactory for the treatment of selected advanced laryngeal cancers. It also preserves laryngeal functions in most cases.
评估水平垂直部分喉切除术治疗晚期喉癌的有效性。
我们回顾性分析了57例接受水平垂直半喉切除术治疗的晚期喉癌患者（原发部位为T3或T4）。56例患者接受了颈部淋巴结清扫术。
总体3年和5年生存率分别为70%（40/57）和64%（32/50）。所有患者术后发声良好，恢复经口进食。在所有死亡病例中，4例死于喉癌复发，4例死于颈部转移，4例死于远处转移，2例死于并发疾病，3例死因不明。在36例N0颈部的患者中，15例（15/36，41.6%）病理检查发现有淋巴结转移。
水平垂直半喉切除术治疗部分晚期喉癌效果满意，多数情况下能保留喉功能。
