[布达佩斯头颈外科诊所全喉切除术后的结果]

[Results following total laryngectomy at the Budapest Clinic of Head-Neck surgery].

作者信息

Trizna Z, Bánhidy F G, Pólus K, Kásler M, Zemplén B, Boér A, Rácz T, Vizkelety T

机构信息

Nationales Institut für Onkologie, Universität für ärztliche Fortbildung, Budapest, Ungarn.

出版信息

HNO. 1989 Jan;37(1):11-3.

PMID:2917876

Abstract

The data on 356 laryngectomies during a 12-year period were analysed retrospectively. The operations were divided into three groups: group I, laryngectomy alone; group II, laryngectomy and secondary neck dissection; group III, one-stage laryngectomy and radical neck dissection. Most patients had advanced disease (stage III and IV: 54.5% and 23.9%, respectively). Supraglottic and glotto-supraglottic tumours were commonest (39.6% and 36.8%, respectively). The results of palpation, fine-needle biopsy and histology of the lymph nodes are compared. The mean survival time for the three groups was 53.4, 42.7 and 29.8 months, respectively, and the 5-year survival rates were 61.9%, 32.0% and 30.8%, respectively.

摘要

对12年间356例喉切除术的数据进行了回顾性分析。手术分为三组：第一组，单纯喉切除术；第二组，喉切除术加二期颈部清扫术；第三组，一期喉切除术加根治性颈部清扫术。大多数患者患有晚期疾病（III期和IV期分别为54.5%和23.9%）。声门上型和声门-声门上型肿瘤最为常见（分别为39.6%和36.8%）。比较了淋巴结触诊、细针穿刺活检和组织学检查的结果。三组的平均生存时间分别为53.4、42.7和29.8个月，5年生存率分别为61.9%、32.0%和30.8%。