本文選題：聲門型喉癌　切入點(diǎn)：喉窗式切除術(shù)　出處：《聽力學(xué)及言語疾病雜志》2017年06期 　論文類型：期刊論文

【摘要】：目的探討喉額側(cè)窗式切除術(shù)結(jié)合甲狀軟骨外膜瓣修復(fù)術(shù)治療侵及前聯(lián)合的T1b期聲門型喉癌的療效。方法對確診為前聯(lián)合受侵的T1b期聲門型喉癌患者22例,均行喉額側(cè)窗式切除術(shù)結(jié)合甲狀軟骨外膜瓣修復(fù)術(shù)治療;隨訪5年,觀察患者術(shù)后呼吸功能、吞咽功能、發(fā)音功能、復(fù)發(fā)率及生存率。結(jié)果所有患者手術(shù)均順利完成,術(shù)后二周拔除氣管套管,拔管率100%;無一例發(fā)生誤咽;術(shù)后患者發(fā)聲功能(G分級)較術(shù)前改善者為86.4%(19/22),與術(shù)前相同者為13.6%(3/22);腫瘤復(fù)發(fā)2例,1例為原位復(fù)發(fā),1例為頸部淋巴結(jié)轉(zhuǎn)移復(fù)發(fā),復(fù)發(fā)率為9.1%(2/22);5年生存率為95.5%(21/22)。結(jié)論喉額側(cè)窗式切除術(shù)結(jié)合甲狀軟骨外膜瓣修復(fù)術(shù)式適用于前聯(lián)合受侵的T1b期聲門型喉癌,該術(shù)式能相對完整地保留喉的骨架及生理功能,不易引起喉狹窄,且修復(fù)組織穩(wěn)定,能有效改善發(fā)聲質(zhì)量。
[Abstract]:Objective to evaluate the efficacy of frontalateral laryngectomy combined with repair of thyroid cartilage adventitia flap in the treatment of T1b stage glottic laryngeal carcinoma. Methods 22 cases of T1b stage glottic laryngeal carcinoma with anterior combined invasion were treated. All patients were followed up for 5 years to observe the postoperative respiratory function, swallowing function, pronunciation function, recurrence rate and survival rate. Two weeks after operation, tracheal cannula was removed and the extubation rate was 100%. There was no case of pharynx error. After operation, the improvement of vocal function (G grade) was 86.4 / 22, and the same as that before operation was 13.663 / 22. 2 cases of tumor recurrence were in situ recurrence and 1 case was cervical lymph node metastasis, 1 case was cervical lymph node metastasis, 1 case was cervical lymph node metastasis, 2 cases had recurrence in situ, 1 case had cervical lymph node metastasis. The recurrence rate was 9. 1 / 22 and the 5-year survival rate was 95. 5% and 21 / 22%. Conclusion the operation of frontal-lateral laryngectomy combined with adventitia flap repair is suitable for anterior combined glottic carcinoma of stage T 1b. This procedure can preserve the skeleton and physiological function of larynx relatively completely. [WT5HZ] [WT5 "HZ] [WT5" BZ] [WT5 "BZ] [WT5" HZ] [WT5 "HZ]. It is not easy to cause laryngeal stenosis, and repair tissue is stable, can effectively improve the quality of voice.
【作者單位】： 廣東省高州市人民醫(yī)院耳鼻喉科;
【分類號】：R739.65

【相似文獻(xiàn)】

相關(guān)期刊論文 前10條

1 馬玲國,王天鐸,姜玉芳,欒信庸,解光;垂直側(cè)前位喉次全切除及其擴(kuò)大手術(shù)治療中晚期聲門型喉癌[J];中華耳鼻咽喉科雜志;2003年03期

2 樊大慶;聲門型喉癌的治療[J];河南腫瘤學(xué)雜志;2003年05期

3 竇春強(qiáng);韓旭;王琳;張明;鄧藕珠;馬曉惠;;聲門型喉癌患者62例預(yù)后多因素分析[J];中國藥物與臨床;2011年10期

4 李言冰;蔡曉軍;馮R寄，

本文編號：1615386