放疗后复发性声门癌的部分喉切除术
Partial laryngectomy for recurrent glottic carcinoma after radiotherapy.
作者信息
Sewnaik Aniel, Meeuwis Cees A, van der Kwast Theo H, Kerrebijn Jeroen D F
机构信息
Department of Otolaryngology Head and Neck Surgery of the Erasmus Medical Center, Dr. Molenwaterplein 40, 3015 GD Rotterdam, The Netherlands.
出版信息
Head Neck. 2005 Feb;27(2):101-7. doi: 10.1002/hed.20125.
BACKGROUND
Early laryngeal cancer is treated with surgery or radiotherapy. A partial laryngectomy instead of a total laryngectomy can be used for treating patients with radiation failures.
METHODS
Patients were grouped by the two types of partial laryngectomies we performed: group I, endoscopic laser surgery (n = 42); and group II, frontolateral partial laryngectomy (n = 21).
RESULTS
With CO2 laser treatment, 14 of 24 patients (no involvement of the anterior commissure) and eight of 18 patients (involvement of the anterior commissure) were cured. With the frontolateral partial laryngectomy, we achieved local control in 15 of 21 patients.
CONCLUSIONS
If the surgeon is familiar with the different techniques of, and indications for, partial laryngectomy, this can be a good and satisfying treatment in selected patients with radiation failure for glottic cancer
背景
早期喉癌采用手术或放疗进行治疗。对于放疗失败的患者，可采用部分喉切除术而非全喉切除术。
方法
根据我们所施行的两种部分喉切除术对患者进行分组：第一组，内镜激光手术（n = 42）；第二组，前外侧部分喉切除术（n = 21）。
结果
采用二氧化碳激光治疗，24例患者（前联合未受累）中有14例治愈，18例患者（前联合受累）中有8例治愈。采用前外侧部分喉切除术，我们使21例患者中的15例实现了局部控制。
结论
如果外科医生熟悉部分喉切除术的不同技术及适应证，那么对于部分因声门癌放疗失败而选择的患者而言，这会是一种良好且令人满意的治疗方法。
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