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早期声门癌保守的喉切除术后局部复发仍是一问题,大组病例报道复发率T_1为2～17%,T_2为4～24%。本文对早期声门癌行垂直部分喉切除者肿瘤部位与局部复发的相关性进行分析,以便术前更准确的估价和选择手术方法。共416例,年龄24～90岁。均未行颈廓清、放疗、化疗。经喉裂开声带切除术。(包括甲状软骨内侧软骨膜)168例,扩大的声带切除术包括前联合、杓状软骨声突或喉室底、或双侧声带。半喉切除术248例,行标准的额侧或额前半喉切除术。结果,65例局部复发(15.7%),补救治疗局部复发控制者55例(84.6%),总的局部
The conservative local recurrence of early glottic cancer after laryngectomy is still a problem. The large group of patients reported a recurrence rate of 2% to 17% for T_1 and 4% to 24% for T_2. This article analyzes the correlation between the tumor site and local recurrence in the vertical partial laryngectomy of early glottic cancer in order to make a more accurate preoperative assessment and selection of surgical methods. A total of 416 cases, aged 24 to 90 years old. Neither neck dissection, radiotherapy, or chemotherapy were performed. The dehiscence of the vocal cords was performed. (Including the cartilage inside the thyroid cartilage) 168 cases, the extended vocal cord resection included anterior joint, arytenoid cartilage audible or bottom of the throat, or bilateral vocal cords. Hemi-laryngectomy was performed in 248 patients and a standard frontofrontal or anterior frontal laryngectomy was performed. As a result, 65 patients had local recurrence (15.7%), and 55 patients (84.6%) had local recurrence control for salvage treatment.