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[评估环状软骨上部分喉切除术治疗喉癌的疗效]

[Evaluation the curative effect of supracricoid partial laryngectomy for laryngeal cancer].

作者信息

Huang Suhong, Guan Zhong, Peng Jieren, Jiang Yuanshi, Li Qingming, Xu Zhijian

机构信息

Department of Otolaryngology, the Affiliated Second Hospital of Sun Yet-sen University, Guangzhou, 510120, China.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Sep;25(18):819-22.

PMID:22256735
Abstract

OBJECTIVE

To analyze the oncological outcomes, functional outcomes in patients undergoing supracricoid partial laryngectomy (SCPL). Provide clinical experience for application of SCPL.

METHOD

A retrospective analysis of the 115 cases with laryngeal carcinoma accepted SCPL in our department from Jan 1996 to Dec 2004. Use the Kaplan-Meier method to analyze the patients'survival rate. Evaluate the value of reserve larynx function.

RESULT

The 5-years survival rates and the decannulation rate was 80.8%, 99.1% respectively; and the average decannulation time was 22.25 days. The mean time of removal of gastric tube was 9.57 days. The function of CHEP was superior to CHP. The vocal function of 115 cases were all achieved in general communication.

CONCLUSION

SCPL get better oncological and functional outcomes and allows the preservation of the basic function of the larynx. It's a safe, effective technique and deserved to generalization.

摘要

目的

分析环状软骨上部分喉切除术(SCPL)患者的肿瘤学结局及功能结局,为SCPL的应用提供临床经验。

方法

回顾性分析1996年1月至2004年12月在我科接受SCPL的115例喉癌患者。采用Kaplan-Meier法分析患者生存率,评估保留喉功能的价值。

结果

5年生存率和拔管率分别为80.8%、99.1%;平均拔管时间为22.25天。平均拔胃管时间为9.57天。CHEP功能优于CHP。115例患者的发声功能均达到基本交流水平。

结论

SCPL具有较好的肿瘤学和功能结局,能保留喉的基本功能。是一种安全、有效的技术,值得推广。

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Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2011 Sep;25(18):819-22.
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Oncologic outcomes after supracricoid partial laryngectomy.声门上型喉部分切除术的肿瘤学结果。
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