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3例喉鳞癌均经病理确诊,临床分期≥T_3,3例均采用自体输血法,其中1例加用化疗。术后随访1例6a以上,1例4a以上,1例2a以上,均健康存活。 例1 患者男性,65岁,因声嘶,痰中带血2mo余,于1991年11月24日,以喉新生物入院。入院诊断:喉鳞癌T_3N_1M_0,喉梗阻Ⅱ～Ⅲ度,于1991年12月5日采用自体输血法在全麻下行喉全切除加左颈淋巴结廓清术。术后d2下床活动,术后1wk拆颈部缝线,切口Ⅰ期愈合,术后d13拆净造口缝线愈合良好,呈喇叭口状,术后d14试吃食物无咽漏,术后d15拔除胃管,术后d22痊愈出院。术中、术后均无并发症发生,随访至今健康存活。
3 cases of laryngeal squamous cell carcinoma were pathologically confirmed, clinical stage ≥ T_3, 3 cases were using autologous blood transfusion method, including 1 case of chemotherapy. One patient was followed up for more than 6a, one case was more than 4a, and one case was more than 2a, both survived. Example 1 Male patient, 65 years old, due to hoarseness, bloody sputum with more than 2mo, November 24, 1991, to laryngeal new biological admission. Admission diagnosis: laryngeal squamous cell carcinoma T_3N_1M_0, laryngeal obstruction Ⅱ ~ Ⅲ degrees, December 5, 1991 using autologous blood transfusion under general anesthesia with laryngectomy plus left neck lymph node dissection. Postoperative d2 out of bed activity, 1wk postoperative neck sutures, incision healed, postoperative d13 clean net stoma suture healed well, was a trumpet-shaped, postoperative food eating without throat leakage after 14 days, postoperative d15 gastric tube removed, d22 recovered after surgery. No intraoperative and postoperative complications, follow-up healthy survival.