中国耳鼻咽喉头颈外科2017，Vol.24Issue(11)：557-560,4.DOI:10.16066/j.1672-7002.2017.11.002
改良环状软骨上喉部分切除术治疗中晚期喉癌的疗效及生存质量评估
Survival and life quality evaluation on advanced laryngeal cancer treated with modified supracricoid partial laryngectomy
摘要
Abstract
OBJECTIVE To evaluate the survival and functional outcomes of advanced laryngeal squamous cell carcinoma after modified supracricoid partial laryngectomy(SCPL).METHODS We selected 65 laryngeal cancer patients treated with modified supracricoid partial laryngectomy from 2002 to 2015 in our hospital.Among them,62 cases were males,3 cases were females with an age ranged from 35 to 80 years(median age 58 years)There were 26 cases with T2 stage,32 cases with T3 stage and 7 cases with T4 stage.We selected 120 laryngeal cancer patients treated with vertical partial laryngectomy at the same period as control.Then we evaluated the functional outcomes of modified supracricoid partial laryngectomy group compared with vertical partial hemilaryngectomy group.RESULTS The 5-year cumulative survival rate and decannulation rate were 82.3％ and 98.3％ for supracricoid laryngectomy group respectively.Decannulation ratewas 86.1％ for vertical partial hemilaryngectomy group(P＜0.05).However,there was no significant difference between supracricoid partial laryngectomy group and vertical partial laryngectomy group in pronunciation evaluation and abnormal deglutition.CONCLUSION Modified supracricoid partial laryngectomy is a good choice for local advanced laryngeal squamous cell carcinoma.关键词
喉肿瘤/预后/生活质量/环状软骨上喉部分切除术Key words
Laryngeal Neoplasms/Prognosis/Quality of Life/supracricoid partial laryngectomy引用本文复制引用
王茹,陈学军,廉猛,房居高,马泓智,冯凌,钟琦,侯丽珍,李平栋,黄志刚,陈晓红..改良环状软骨上喉部分切除术治疗中晚期喉癌的疗效及生存质量评估[J].中国耳鼻咽喉头颈外科,2017,24(11):557-560,4.基金项目
北京市医管局临床技术创新项目(XMLX201311)和国家自然科学基金面上项目(81473499)联合资助 （XMLX201311）
