喉癌治疗全喉切除术和喉部分切除术治疗体会.docVIP

喉癌治疗全喉切除术和喉部分切除术治疗体会 　　[摘要] 目的 分析喉癌患者采用全喉切除?g以及喉部分切除术治疗的临床效果。方法 方便选取该院2005年1月―2016年12月收治的45例喉癌患者按照不同的手术治疗方法分为喉部分切除组（23例，采用喉部分切除术治疗）和全喉组（22例，采用全喉切除术治疗），对比两组患者术后并发症发生率，对患者进行3～5年随访，对比两组患者生存期以及复发情况。结果 喉部分切除组患者伤口感染、咽瘘等术后并发症发生率（4.3%）明显低于全喉组（18.2%），两组并发症发生率差异有统计学意义（P0.05）。结论 喉癌患者采用全喉切除术、喉部分切除术治疗的效果均相对理想，其中喉部分切除术的安全性更高，可降低患者术后并发症发生率，提高患者生存率。 　　[关键词] 全喉切除术；喉部分切除术；治疗效果；对比分析 　　[中图分类号] R739 [文献标识码] A [文章编号] 1674-0742（2017）10（c）-0070-03 　　The Experience of Treatment of Laryngeal Carcinoma by Total Laryngectomy and Partial Laryngectomy 　　TANG Bin， GU Ming-zhi， CAI Ting-ting 　　Department of Otolaryngology， Sheyang County People’s Hospital， Sheyang， Jiangsu Province， 224300 China 　　[Abstract] Objective This paper tries to analyze the clinical effect of treatment of laryngeal cancer patients with total laryngectomy and laryngeal partial resection. Methods 45 patients with laryngeal cancer treated in this hospital from January 2005 to December 2016 were conveniently selected and divided into the partial resection group（23 cases， using the larynx resection treatment） and the total laryngectomy group（22 cases， using total laryngectomy treatment） by different surgical treatment methods， postoperative complications of two groups were compared， after 3 to 5 years of follow-up of the patients， survival and relapse condition of the two groups were compared. Results The incidence of postoperative complications in the partial laryngeal resection group， like the wound infection and pharyngeal fistula was 4.3%， significantly lower than the total laryngectomy group of 18.2%， there was statistically significant difference in the complication rate of two groups （P0.05）. Conclusion The partial laryngectomy and laryngeal for the laryngeal cancer are relatively ideal， of which the safety of the larynx resection is higher， which can reduce the incidence of patients with postoperative complications and improve their survival rate. 　　[Key words] Total laryngectomy； Partial larynx resection； Tre