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目的 :总结 1980年 10月至 1997年 10月间 6 3例不同部位的喉癌手术治疗经验。 方法 :采用不同术式行部分喉切除术 ,其中行喉裂开声带切除 19例 ,垂直半喉切除 37例 ,水平半喉切除 7例 ;4例做了功能性颈廓清术 ,术后 44例辅以放疗。 结果 :3年、 5年生存率分别为 81.8% (9/ 11)、 79.1% (34 / 43) ,发音及吞咽功能均恢复 ,拔管率达 92 %。 结论 :认为掌握手术指征 ,充分了解肿瘤侵犯的范围是部分喉切除成功的关键
OBJECTIVE: To summarize the experience of surgical treatment of laryngeal carcinoma in 63 different sites from October 1980 to October 1997. Methods: Partial laryngectomy was performed with different surgical procedures. Among them, 19 cases were treated with laryngeal rupture open vocal cords, 37 cases with vertical hemilaryngectomy and 7 cases with horizontal hemilaryngectomy. In 4 cases, functional neck dissection was performed and in 44 cases Supplemented by radiotherapy. Results: The 3-year and 5-year survival rates were 81.8% (9/11) and 79.1% (34/43), respectively. The pronunciation and swallowing function recovered and the rate of extubation reached 92%. Conclusion: It is the key to successful laryngectomy to master the indications of surgery and fully understand the extent of tumor invasion