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目的:分析环状软骨上喉部分切除术(SCPL)的疗效、功能,为SCPL的应用提供临床经验。方法:回顾性分析1996-01-2004-12期间在中山大学第二附属医院耳鼻咽喉科收治的经病理确诊且随访资料完整的行SCPL术的115例喉癌患者,应用Kaplan-Meier法研究喉癌患者的生存结果。评估患者术后呼吸、吞咽、发声功能。结果:5年生存率为80.8%,拔管率为99.1%,平均拔管时间22.25d,平均拔胃管时间9.57d。环状软膏-舌骨-会厌固定术喉功能恢复优于环状软骨-舌骨固定术,所有患者术后发声功能均符合日常生活需要。结论:环状软骨上喉部分切除术取得相当好的肿瘤学及功能学结果,是一种安全有效的手术方式,值得推广应用。
Objective: To analyze the curative effect and function of annular partial cartilage laryngectomy (SCPL) and to provide clinical experience for the application of SCPL. Methods: A retrospective analysis of 115 cases of laryngeal cancer treated with SCPL from January to December 2004 in Department of Otorhinolaryngology, the Second Affiliated Hospital of Sun Yat-sen University was performed. The Kaplan-Meier method Survival of cancer patients. Evaluation of patients after respiration, swallowing, vocal function. Results: The 5-year survival rate was 80.8%, the rate of extubation was 99.1%, the average extubation time was 22.25 days, and the average gastric tube withdrawal time was 9.57 days. Annular ointment - hyoid - epiglottis laryngeal function recovery is superior to annular cartilage - hyoid fixation, all patients with vocal function are in line with daily needs. CONCLUSION: Partial resection of the annular cartilaginous larynx has achieved good oncology and functional outcomes. It is a safe and effective surgical method, which is worthy of promotion and application.