环状软骨上部分喉切除术应用于声门型喉癌21例临床分析.docVIP

精品论文 参考文献 环状软骨上部分喉切除术应用于声门型喉癌21例临床分析 蔡天文（四川省简阳市中医医院耳鼻喉科 641400） 　　【摘要】目的 探讨环状软骨上部分喉切除及功能重建术的适应证及疗效。方法 回顾性研究2008 年1月-2011年1月期间施行环状软骨上部分切除及功能重建术治疗的喉癌患者21例，肿瘤分期为Ⅰ期4例，Ⅱ期11例，Ⅲ期6例，结合术后气管套管放置天数、胃管拔除时间以及发音情况评价喉功能恢复效果。结果 21例患者均于术后14-28天拔除气管套管，平均18.6天，拔管率100%，术后10-19天拔除鼻饲管，平均15.3天，全部病例术后恢复了喉的三大功能。术后6月-3年随访，20例患者存活，1例死于肺转移及脑转移。结论 环状软骨上部分切除是一种较易掌握、效果较为理想的手术方式，该术式能在根治喉癌的同时更加有效地保全喉功能，改善生存质量。 　　【关键词】 喉癌 环状软骨上部分喉切除术 喉功能 　　【中图分类号】R739.65 【文献标识码】A 【文章编号】2095-1752（2013）32-0043-02 　　Clinical analysis of supracricoid partial laryngectomy for treating glottic carcinoma in 21 patients 　　Cai Tianwen E.N.T. Dept, Sichuan Province Jianyang Integrated Tcm Hospital,jianyang 641400 　　【Abstract】 Objective To explore the indications and efficacy ofsupracricoid partial laryngectomy for treating glottic carcinoma and functional rehabilitation. Methods From January 2008 to January 2011,21 patients with glottic carcinoma were accepted supracricoid partial laryngectomy and functional rehabilitation, TNM-staging: 4 cases were stage I,11 cases were stage II,6cases were stage III. Estimating the efficacy of laryngeal functional rehabilitation through the days of trachea cannula and taking out stomach tube or pronounce postoperation. Results Taking out trachea cannula in 14～28 days postoperation for all the cases, average 18.6 days,Taking out stomach tube in 10～19 days postoperation, average 15.3 days , laryngeal function were satisfactary in all the cases after operation.Postoperative following up had continued from 6 months to 3 years, During the follow-up, 20 cases survived, one died of metastatic carcinoma of lung and brain. Conclusion Supracricoid partial laryngectomy is easy to master and satisfactory in efficacy, The surgical procedures can more effectively rehabilitate laryngeal function and improve life quality after operation. 　　【Key Words】Laryngeal carcinoma Supracricoid partial laryngectomy Laryngeal function 　　外科手术是喉癌治