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目的:探讨梨状窝癌外科治疗与喉功能保留的可行性。方法:分析42例保留喉功能梨状窝癌切除患者的手术方法、并发症、生存率等。结果:术后拔管率为61.9%(26/42),3、5年生存率分别为76.1%和66.6%,并发症发生率为31.0%(13/42)。结论:保留喉功能梨状窝癌手术适用于T1、T2及经过仔细选择的Ⅲ、Ⅳ期肿瘤患者,该术式不影响患者的生存率,并能提高患者的生存质量。
Objective: To investigate the feasibility of surgical treatment of laryngeal carcinoma and preservation of laryngeal function. Methods: Forty - two cases of laryngeal function - preserving resected pear - shaped tumor were analyzed. Surgical methods, complications and survival rate were analyzed. Results: The rate of postoperative drainage was 61.9% (26/42). The 3 and 5 year survival rates were 76.1% and 66.6% respectively, and the complication rate was 31.0% (13/42). CONCLUSIONS: Laparoscopic laryngeal preserving surgery is suitable for T1, T2 and carefully selected stage III and IV tumors. This procedure does not affect patient survival and improves patient quality of life.