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目的探讨喉部分切除术的疗效及喉功能恢复情况。方法回顾分析1997～2006年施行各种喉部分切除术声门型喉癌75例。其中男71例,女4例。其中行CO2激光声带切除术12例,喉裂开声带切除术18例,喉垂直部分切除术33例,喉额侧部分切除术5例,喉扩大垂直部分切除术4例。环状软骨舌骨会厌固定(cricohyo idoepiglottopexy,CHEP)2例。结果本组75例患者3、5年生存率分别为97.3%、94.6%。其中T1、T2病变患者48例分别为97.9%和97.9%。T3、T4病变患者(27例)分别为92.5%和85.1%。全部患者吞咽功能及发声功能均可恢复,拔管率为92.1%(58/63)。术后1个月内拔管率为85.2%。结论喉部分切除术是根治声门型喉癌的首选治疗措施。严格掌握手术适应证、选择正确术式、正确的修复技术是保证手术的疗效及保留喉功能的必要条件。
Objective To investigate the efficacy of partial laryngectomy and the recovery of laryngeal function. Methods Retrospective analysis of 75 cases of various laryngectomy glottic laryngeal cancer from 1997 to 2006. There were 71 males and 4 females. There were 12 cases of CO2 laser vocal cord excision, 18 cases of laryngeal rupture open vocal cord excision, 33 cases of vertical partial laryngectomy, 5 cases of laryngeal frontal partialctomy and 4 cases of laryngectoidectomy. 2 cases of cricohyo idoepiglottopexy (CHEP). Results The 3 and 5-year survival rates of 75 patients in this group were 97.3% and 94.6%, respectively. In T1 and T2 lesions, 48 cases were 97.9% and 97.9% respectively. T3 and T4 lesions (n = 27) were 92.5% and 85.1%, respectively. All patients swallowing function and vocal function can be recovered, extubation rate was 92.1% (58/63). The rate of extubation within one month after operation was 85.2%. Conclusion Partial laryngectomy is the treatment of choice for the treatment of glottic laryngeal cancer. Strict control of surgical indications, select the correct surgical procedures, the right repair technique is to ensure the efficacy of surgery and the necessary conditions to retain laryngeal function.