浙江医学2011，Vol.33Issue(7)：974-976,981,4.
不同喉环状软骨上部分切除术式术后误咽发生情况分析
Extent of post-operative deglutition disorder in patients underwent different modalities of supracricoid partial laryngectomy
摘要
Abstract
Objective To compare the extent of deglutition disorder in patients with laryngeal carcinoma underwent different modalities of supracricoid partial laryngectomy.Methods Thirty eight patients with laryngeal carcinoma underwent supracricoid partial laryngectomy with cricohyoidoepiglottopexy (SCPL- CHEP) and 28 patients underwent supracricoid partial laryngectomy- cricohyoidopexy (SCPL-CHP) from 2005 to 2009.The extent of post- operative deglutition disorder in both groups was evaluated by Ridit analysis; and its relationship with age of patients was analyzed by Pearson correlation.Results There was significant difference in the extent of deglutition disorder between the two groups (U=25.685,P＜0.01); the correlation coefficient was 0.932 (P＜0.01) in SCPL- CHEP group and 0.850 (P＜0.01) in SCPL- CHP group respectively.There was a positive correlation between age and extent of deglutition disorder.The occurrence of deglutition disorder was 2.6％ (1/38)in SCPL- CHEP group and 25％ (7/28)in SCPL- CHP group 8 weeks after operation (P ＜0.01).Conclusion SCPL- CHEP is a safe and effective operational modality for laryngeal carcinoma with less incidence of post- operational deglutition disorder.The extent of deglutition disorder in both groups increases with the age of patients, particularly for those aged over 70.关键词
喉肿瘤/喉切除术/误咽Key words
Laryngeal neoplasms / Laryngectomy / Deglutition disorder引用本文复制引用
林刃舆,陈建福,彭建华,郭志强,贾明辉..不同喉环状软骨上部分切除术式术后误咽发生情况分析[J].浙江医学,2011,33(7):974-976,981,4.基金项目
温州市科技局对外科技合作交流项目(H20100075) （H20100075）
