Fagan J J, Loock J W
Department of Otolaryngology, Groote Schuur Hospital, Cape Town, South Africa.
Clin Otolaryngol Allied Sci. 1996 Aug;21(4):328-30. doi: 10.1111/j.1365-2273.1996.tb01080.x.
Emergency tracheostomy prior to laryngectomy for laryngeal carcinoma has been associated with peristomal recurrence. Is the peristomal recurrence caused by the tracheostomy per se, or is it due to the association of tracheostomy with subglottic tumours and locally advanced tumours? This study examines the association between tracheostomy, as an independent variable, and peristomal recurrence. Forty-three patients with T3 glottic carcinomas and treated by a combination of total laryngectomy and radiotherapy were studied. The difference in peristomal recurrence between the tracheostomy and non-tracheostomy patients was not statistically significant. Nor was there a correlation between the time interval between tracheostomy and laryngectomy, and the incidence of peristomal recurrence. It is concluded that tracheostomy, as an independent variable, does not cause peristomal recurrence.
喉癌患者在喉切除术前行紧急气管切开术与造口周围复发有关。造口周围复发是由气管切开术本身引起的，还是由于气管切开术与声门下肿瘤及局部晚期肿瘤有关？本研究探讨作为自变量的气管切开术与造口周围复发之间的关联。对43例T3期声门癌患者进行了研究，这些患者接受了全喉切除术和放疗联合治疗。气管切开术患者与未行气管切开术患者之间造口周围复发的差异无统计学意义。气管切开术与喉切除术之间的时间间隔与造口周围复发的发生率之间也没有相关性。得出的结论是，作为自变量的气管切开术不会导致造口周围复发。
