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气管造口复发癌的临床分析和治疗转归
引用本文:李建胜,马健,牟善宇,乔秀军,潘新良. 气管造口复发癌的临床分析和治疗转归[J]. 中国耳鼻咽喉头颈外科, 2010, 17(4): 190-191
作者姓名:李建胜  马健  牟善宇  乔秀军  潘新良
作者单位:山东省日照市人民医院耳鼻咽喉科,山东,日照,276826;山东大学齐鲁医院耳鼻咽喉科,山东,济南,250012
摘    要:目的探讨气管造口复发癌的原因及手术治疗的可行性。方法回顾分析13例气管造口复发癌的临床资料,分析复发原因,对比手术和非手术治疗的效果。结果13例气管造口复发癌中,未行手术治疗4例,除1例存活1年3个月,其余3例均在2~7个月死亡;接受手术治疗9例,6例存活1年以上,4例随访3年,有1例仍存活。手术组1年生存率显著高于非手术组。结论气管造口复发癌预后较差,适当的手术治疗可延长患者生命,提高生活质量。

关 键 词:喉切除术  气管造口术  肿瘤复发  局部
收稿时间:2009-08-18

Clinical analysis and prognosis of stomal recurrence after laryngectomy
LI Jiansheng,MA Jian,MU Shanyu,QIAO Xiujun,PAN Xinliang. Clinical analysis and prognosis of stomal recurrence after laryngectomy[J]. Chinese Archives of Otolaryngology-Head and Neck Surgery, 2010, 17(4): 190-191
Authors:LI Jiansheng  MA Jian  MU Shanyu  QIAO Xiujun  PAN Xinliang
Affiliation:1 Department of Otolaryngology,Rizhao City People's Hospital,Rizhao,Shandong,276826,China;2 Department of Otolaryngology,Qilu Hospital of Shandong University,Jinan,Shandong,250012,China)
Abstract:OBJECTIVE To investigate the causes of stomal recurrence after laryngectomy and the possibility of surgical management.METHODS The clinical data of 13 cases of stomal recurrence were analyzed retrospectively.RESULTS In 13 cases of stomal recurrence after laryngectomy,the survival period of 9 cases treated surgically was longer than that of 4 cases untreated or palliative treatment.CONCLUSION The overall prognosis of stomal recurrence after laryngectomy is poor.A proper surgical treatment in some cases will prolong the patient's lifetime obviously and improve his quality of life.
Keywords:Laryngectomy  Tracheostomy  Neoplasm Recurrence  Local
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