论文部分内容阅读
目的：探讨晚期喉癌、下咽癌保留喉功能的方法，降低全喉切除率。方法：对喉癌T3、T4病变和下咽癌T3病变行喉近全切除术15例。其中喉癌13例，梨状窝癌2例。年龄41～76岁，平均56．3岁。临床分期：Ⅲ期9例，Ⅳ期6例。结果：除1例不能发音外，其余14例（93．3％）获得了较好的发音和无呛咳吞咽功能。2年生存率75．0％（9／12）。结论：该方法在保存发声功能，降低全喉切除率方面有积极作用。
Objective: To explore the method of preserving laryngeal function in advanced laryngeal carcinoma and hypopharyngeal carcinoma and to decrease the rate of total laryngectomy. Methods: Totally 15 cases of laryngeal carcinoma T3 and T4 lesions and hypopharyngeal carcinoma T3 lesion were performed. Throat cancer in 13 cases, two cases of pear-shaped nest cancer. Age 41 to 76 years old, average 56.3 years old. Clinical stage: stage Ⅲ in 9 cases, stage Ⅳ in 6 cases. Results: In addition to 1 case can not pronounce, the remaining 14 cases (93.3%) get better pronunciation and no cough swallowing function. 2-year survival rate was 75.0% (9/12). Conclusion: This method has a positive effect in preserving vocal function and reducing the rate of total laryngectomy.