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[手术治疗喉癌的临床与内镜学方面]

[Clinical and endoscopic aspects of surgically treated laryngeal cancer].

作者信息

Maksimov I A, Bitiutskiĭ P G, Sokolov V V, Ol'shanskiĭ V O, Kozhanov L G

出版信息

Vestn Otorinolaringol. 1990 May-Jun(3):15-8.

PMID:2382328
Abstract

This paper presents the results of fibroendoscopic examinations of 74 patients with laryngeal cancer of II-IV degree. Tumor dissemination was T2NO in 25 patients, T3NO in 36 patients, and T4NO in 13 patients. All the patients underwent modified resection patterns: 53 patients--horizontal resection (4 modifications) and 21 patients--frontolateral resection in the lower modification. Altogether 170 fibroendoscopic examinations were performed. Fibrolaryngoscopy helps to examine all laryngeal structures, evaluate and differentiate changes after various modifications of organ-preserving operations in the case of laryngeal cancer, and to detect at an early postoperative stage further tumor growth. Correct assessment of postoperative changes in the larynx prior to fibrolaryngoscopy can be carried out on the basis of reliable information about the operation, amount of tissue removed, and organ reconstruction.

摘要

本文介绍了74例II-IV度喉癌患者的纤维内镜检查结果。25例患者肿瘤播散为T2NO,36例为T3NO,13例为T4NO。所有患者均接受了改良切除模式:53例患者行水平切除(4种改良方式),21例患者行低位前外侧切除改良术。共进行了170次纤维内镜检查。纤维喉镜有助于检查所有喉部结构,评估和鉴别喉癌保器官手术各种改良术后的变化,并在术后早期检测肿瘤进一步生长。在纤维喉镜检查前,可根据关于手术、切除组织量和器官重建的可靠信息,对喉部术后变化进行正确评估。

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