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作者就1974年11月至1987年12月单纯手术治疗的378例男性喉癌患者进行了生存率分析。平均年龄60岁。肿瘤部位:声门上癌180例(47.6%),声门癌83例(22.0%),声门下癌5例(1.3%),两个部位受累110例(29.1%)。临床分期:Ⅰ期17例,Ⅱ期45例,Ⅲ期177例,Ⅳ期139例,即Ⅲ、Ⅳ期占总数84%;淋巴结转移者195例(51.6%),肿瘤有溃疡者233例(61.6%),无溃疡者145例(38.4%)。治疗:部分喉切除术72例(19%),全喉切除术306例(81%),凡Ⅲ、Ⅳ期患者均作了颈廓清术。平均随访99.3个月,最短随访期6个月,失访27例。总的3、5和10年生存率分别
The authors conducted a survival analysis of 378 men with laryngeal cancer who underwent simple surgical procedures from November 1974 to December 1987. The average age is 60 years old. Tumor sites: 180 cases (47.6%) of supraglottic tumors, 83 cases of glottic cancers (22.0%), 5 cases of subglottic cancer (1.3%) and 110 cases (29.1%) of the two parts. Clinical stage: 17 cases of stage Ⅰ, 45 cases of stage Ⅱ, 177 cases of stage Ⅲ and 139 cases of stage Ⅳ, which accounted for 84% of the total in stage Ⅲ and Ⅳ; 195 cases (51.6%) of lymph node metastasis and 233 cases of tumor ulcer 61.6%), no ulcer in 145 cases (38.4%). Treatment: partial laryngectomy in 72 cases (19%), total laryngectomy in 306 cases (81%), where Ⅲ, Ⅳ patients were made of neck dissection. The average follow-up of 99.3 months, the shortest follow-up period of 6 months, 27 cases were lost. The overall 3,5 and 10 year survival rates were respectively