梨状窝癌的手术治疗

• 出 处: 国外医学参考资料.耳鼻咽喉科学分册
• 发表日期: 1978年S1期
• 关键词: 喉咽切除术 梨状窝 存活率 于术 造孔 气管 手术 颈部 病变 这种

梨状窝癌为一种高度的恶性病变,一般预后较差。22例经选择的病人曾进行部分喉咽切除术,连同颈部廓清术,总的5年存活率为54.5％。避免作全喉切除术及永久性气管造孔术。6例于术前或术后进行放疗,效果尚难断定。作者认为这种病人应严格分期,即时进行手术,可不牺牲喉部,将获得半数以上的5年存活率。

Piriform tumor is a highly malignant disease and generally has a poor prognosis. Twenty-two selected patients had undergone partial laryngectomy, together with neck dissection, and the overall 5-year survival rate was 54.5%. Avoid total laryngectomy and permanent tracheotomy. Six cases were treated with radiotherapy before or after surgery, and the results were still difficult to determine. The authors believe that such patients should be strictly staged and undergo immediate surgery. Without sacrificing the larynx, more than half of the five-year survival rate will be achieved.