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经典声带切除术治疗声门癌的疗效

Effectiveness of classical chordectomy in the treatment of cancer of the glottis.

作者信息

Modrzejewski M, Olszewski E, Strek P, Wszołek W, Zielińska J

机构信息

Otolaryngological Clinic, Collegium Medicum, Jagiellonian University, Cracow, Poland.

出版信息

Auris Nasus Larynx. 1998 Jan;25(1):59-66. doi: 10.1016/s0385-8146(97)10028-1.

DOI:10.1016/s0385-8146(97)10028-1
PMID:9512796
Abstract

From 1980 to 1992, 85 patients diagnosed with tumour of the glottis, localized exclusively in the vocal cord area, had undergone surgery. A 90% 5-year survival rate without recurrences had been obtained. Taking into account the cases of life-saving surgery, the percentage of the 5-year survivals amounted to 94%. Considerably better results were obtained by the excision of the entire vocal cord and not just one of its sections (1/2, 2/3 etc.). The degree of deformation of the voice following chordectomy was assessed by means of acoustic and laryngographic methods (Laryngograph Processor PCLX). A 13% rate of irregularity in the functioning of the neoglottis, following surgery, was observed. The Jitter-Shimmer co-efficients were established. The results of the deformation of the voice following chordectomy were presented on the J-S scale and compared with other partial surgeries performed on patients with tumours of the glottis. All of the acoustic and laryngographic findings were presented in the from of mean values most representative of chordectomy.

摘要

1980年至1992年期间,85例被诊断为声门肿瘤且仅局限于声带区域的患者接受了手术。获得了90%的5年无复发生存率。考虑到挽救生命的手术病例,5年生存率达到了94%。通过切除整个声带而非仅切除其一部分(如1/2、2/3等),取得了明显更好的效果。通过声学和喉造影方法(喉造影处理器PCLX)评估声带切除术后的声音变形程度。观察到术后新声门功能出现不规则的比例为13%。确定了抖动-闪烁系数。声带切除术后声音变形的结果以J-S量表呈现,并与对声门肿瘤患者进行的其他部分手术结果进行比较。所有声学和喉造影检查结果均以最能代表声带切除术的平均值形式呈现。

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