论文部分内容阅读
目的 :探讨老龄喉癌患者行喉近全切除术的远期疗效。方法 :对 12例 6 5岁以上喉癌患者行喉近全切除术 ,在Pearson手术基础上 ,保留部分环状软骨板、环杓关节及喉返神经。结果 :3、5年生存率为 75 .0 %及6 6 .7%。术后 2周内全部恢复吞咽功能。 10例获得理想发声 ,2例发声失败。结论 :对于有心、肺、脑等基础疾病的老龄喉癌患者 ,喉近全切除术是一种较好的方法。
Objective: To investigate the long-term efficacy of subtotal laryngectomy in elderly patients with laryngeal cancer. Methods: Twelve patients with laryngeal carcinoma over 65 years old underwent total laryngectomy. Based on Pearson ’s surgery, some of the annular cartilage plates, the cricoid joints and the recurrent laryngeal nerve were preserved. Results: The 3-year and 5-year survival rates were 75.0% and 66.7%. Within 2 weeks after the restoration of swallowing function. Ten patients achieved ideal voice, two patients failed to sound. Conclusion: Nearly total laryngectomy is a good method for elderly patients with laryngeal cancer who have underlying diseases such as heart, lung and brain.