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目的 :探讨声门型喉癌术后复发的原因 ,提出有效的防治措施。方法 :对我院 1991年 8月～ 2 0 0 1年 8月收治的 46例声门型喉癌部分喉切除术后复发病例进行回顾性分析 ,对原发肿瘤的部位、手术方式及复发肿瘤的部位进行了分析。结果 :46例首次复发声门型喉癌病例中 ,局部复发 3 2例 ,其中喉内第二原发病变致术后局部复发 13例 ,占 40 .6% ( 13 / 3 2 )。颈部复发 14例 ,其中上颈部是颈部复发的重要部位 ,占 42 .9% ( 6/ 14)。喉内局部复发再次手术治疗后第 2次复发的 9例中 ,上颈部和局部复发仍是主要的复发部位 ,占 5 5 .6% ( 5 / 9)。结论 :正确处理晚期声门型喉癌和喉内局部复发癌的上颈部淋巴结及正确认识声门型喉癌喉内第二原发病变并作相应的处理是降低声门型喉癌术后复发的重要措施
Objective: To investigate the reason of postoperative recurrence of glottic laryngeal cancer and to put forward effective prevention and treatment measures. Methods: A retrospective analysis of 46 cases of glottic laryngeal cancer after partial laryngectomy admitted from August 1991 to August 2001 in our hospital was conducted. The location of the primary tumor, the surgical procedure and the recurrent tumor The parts were analyzed. Results: Of the 46 patients with recurrent glottic laryngeal cancer, there were 32 cases of local recurrence, of which 13 cases were locally recurred after the second primary lesion in the throat, accounting for 40.6% (13/32). Neck recurrence in 14 cases, of which the upper neck is an important part of neck recurrence, accounting for 42.9% (6/14). Among the 9 cases with the second recurrent laryngeal recurrence after reoperation, the upper neck and local recurrence were still the main recurrence sites, accounting for 55.6% (5/9). Conclusion: The correct treatment of the second primary lesion in the laryngeal glottic carcinoma of late glottic laryngeal carcinoma and laryngeal carcinoma with local recurrence and correct recognition of the second primary lesion in the laryngeal glottic laryngeal carcinoma is the treatment of glottic laryngeal cancer Recurrence of the important measures