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目的 :观察部分喉切除的疗效及喉功能情况。方法 :总结各种喉部分切除术并获得随访资料 42例 ,所有病例均经病理学证实为喉癌 ,其中声门上癌 4例 ,声门癌 38例 ,共 6种术式 ,即声带切除术 3例、垂直部分切除术 34例 ,额侧切除术 2例 ,声门上水平部分切除术 2例 ,水平垂直部分切除术 1例 ,同期颈廓清术 3例。结果 :全部病例恢复发音功能 ,7～ 14天克服误咽 ,拔掉鼻饲管 ,全部病例 9天～ 3个月拔除气管套管 ,3年、5年生存率为 88.0 9% (37/ 42 )、85 .71% (30 / 35 )。结论 :喉部分切除术是保存喉功能的根治性手术 ,严格掌握适应证 ,正确选择术式 ,熟练的手术技巧及完善的修复技术是提高生存质量及疗效的根本。
Objective: To observe the curative effect and laryngeal function of partial laryngectomy. Methods: All kinds of laryngectomy and follow-up data were summarized in 42 cases. All cases were pathologically confirmed as laryngeal cancer, including 4 cases of supraglottic carcinoma and 38 cases of glottic carcinoma. There were 6 operative procedures, vocal cord excision 3 cases of surgery, vertical partial resection in 34 cases, frontal resection in 2 cases, partial supraglottic resection in 2 cases, horizontal and vertical partial resection in 1 case, simultaneous neck dissection in 3 cases. Results: In all cases, the pronunciation function was restored. After 7 to 14 days, the nasopharyngeal tube was overcame by swallowing. The tracheal tube was removed from 9 days to 3 months in all cases. The 3-year and 5-year survival rates were 88.0 9% (37/42) , 85.71% (30/35). Conclusion: Partial laryngectomy is a radical operation for preserving laryngeal function. Strict indications are needed. The correct choice of surgical techniques, skilled surgical techniques and complete repair techniques are the fundamental measures to improve the quality of life and efficacy.