论文部分内容阅读
目的探究喉癌手术后对愈合情况,并对其影响因素进行分析对比及如何应对。方法随机选取2006年1月至2012年6月期间在我院进行喉癌手术的38例患者进行调查并研究其术后愈合情况,并作出多因素分析。结果疾病特异性生存率为75.8%,其中有24.2%的患者由于喉癌而死亡,整体生存率为65.8%。疾病的特异性生存率高于整体的生存率,有统计学差异(P<0.05)。分别对患者的年龄、术后放疗、术后并发症、阳性淋巴结和声带活动进行调查,其中年龄在65岁以上的患者为31例,65岁以下的患者为7例。术后正常进行放疗的患者为11例,未进行放疗的患者为27例。术后并发症的患者为12例,未发生的患者26例。阳性淋巴结的患者9例,未曾阳性者29例。声带活动正常的为19例,一侧异常的为17例,两侧异常的为2例。结论年龄、术后放疗、术后并发症、阳性淋巴结和声带活动是影响患者生存率的主要因素,早期诊断、坚持术后随访是提高患者生存率的关键。
Objective To investigate the healing of laryngeal carcinoma after surgery and to analyze the influencing factors and how to deal with it. Methods Thirty-eight patients undergoing laryngeal cancer surgery in our hospital from January 2006 to June 2012 were randomly selected and investigated. The postoperative healing was investigated and multivariate analysis was made. Results The disease-specific survival rate was 75.8%, of which 24.2% died of laryngeal cancer. The overall survival rate was 65.8%. The disease-specific survival rate was higher than the overall survival rate, with statistical significance (P <0.05). The patient’s age, postoperative radiotherapy, postoperative complications, positive lymph nodes and vocal cord activity were investigated, including 31 patients aged 65 years and over, 7 patients under 65 years of age. Eleven patients had normal radiotherapy and 27 patients did not receive radiotherapy. Postoperative complications in 12 patients, 26 patients did not occur. 9 cases of positive lymph nodes, 29 cases were not positive. Vocal cord activity was normal in 19 cases, an abnormal side of 17 cases, both sides of the anomalous in 2 cases. Conclusion Age, postoperative radiotherapy, postoperative complications, positive lymph nodes and vocal cord activity are the main factors affecting the survival rate of patients. Early diagnosis and adherence to postoperative follow-up are the keys to improve patient survival rate.