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目的 :探讨 30年间喉部分切除术在喉癌治疗中的应用。方法 :30年间行喉部分切除术 2 57例 ,将30年喉部分切除术治疗喉癌分前 1 0年、中间 1 0年和后 1 0年 3个阶段 ,进行对比观察。前 1 0年、中间 1 0年和后 1 0年喉癌手术中喉部分切除术分别占 9 6%、52 3%和 68 6%。结果 :30年间喉部分切除术 2 57例 ,前1 0年、中间 1 0年和后 1 0年 3年生存率分别为 50 0 %、63 0 %和 73 6% ,5年生存率分别为 37 5%、55 6%和71 8% ;术后 1～ 3月内拔管率分别为 37 5%、50 6%和 71 4% ;术后咽瘘发生率分别为 2 5 0 %、1 2 3%和3 0 %。结论 :30年间喉部分切除术患者年龄有逐渐增高趋势 ;全喉切除术逐渐减少 ,喉部分切除术逐渐增加 ;3、5年生存率和术后拔管率有逐渐提高的趋势 ;术后咽瘘有逐渐减少的趋势。
Objective: To investigate the application of partial laryngectomy in the treatment of laryngeal cancer in 30 years. Methods: Twenty - five patients underwent partial laryngectomy for 30 years. Three decades of partial laryngectomy for laryngeal cancer were treated 30 years ago, 10 years later and 10 years later. In the first 10 years, the laryngectomy in laryngeal cancer accounted for 96%, 52 3% and 68 6%, respectively, in the middle 10 years and the latter 10 years. Results: Twenty-five patients underwent partial laryngectomy in 30 years. The three-year survival rates were 100%, 63 0% and 73 6% in the first 10 years, the middle 10 years and the later 10 years respectively. The 5-year survival rates were 37 5%, 55 6% and 71 8% respectively. The rate of extubation within 1 to 3 months after operation was 37 5%, 50 6% and 71 4% respectively. The incidences of postoperative pharyngeal fistula were 25%, 1 2 3% and 30%. CONCLUSIONS: The age of patients undergoing partial laryngectomy increased gradually over the past 30 years. The total laryngectomy decreased gradually and the partial laryngectomy increased gradually. The 3 and 5 year survival rates and postoperative extubation rate increased gradually. There is a gradual decrease in the trend of fistula.