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排序方式: 共有820条查询结果,搜索用时 93 毫秒
1.
目的探讨一次性直线型吻合器在喉癌手术中的应用效果。方法选取我科2019年10例全喉切除手术患者,采用随机分组方法,分为封闭法和半封闭法两组。总结比较所用手术时间、术中出血量、术后咽瘘感染的发生率。结果所有手术都顺利完成,会厌软骨残留1例,咽瘘1例。结论直线吻合器在全喉切除术中具有较好的临床应用价值。 相似文献
2.
《Acta otorrinolaringologica espanola》2020,71(2):70-77
ObjectiveTo analyse the oncological results of a salvage total laryngectomy in patients with a laryngeal carcinoma.Material and methodsRetrospective review of a cohort of 241 patients treated with a salvage laryngectomy after a local recurrence. The initial treatment received by these patients was radiotherapy (n = 201, 83.4%), chemoradiotherapy (n = 19, 7.9%), and partial surgery (n = 21, 8.7%),ResultsTotal laryngectomy as salvage treatment achieved local control of the disease in 81.3% of cases, with a 5-year specific survival of 65.3%. The variables related with specific survival in a univariate analysis were the location of the primary tumour, the local extension of the initial tumour and of the recurrence, the resection margins, and the pathological status of the neck dissections. According to the results of a multivariate analysis, the variables related to specific survival were the status of the resection margins, the presence of simultaneous regional recurrence, and the local extension of the recurrence.ConclusionThe 5-year specific survival of patients treated with a salvage laryngectomy was 65.3%. The variables related with the control of the disease were the status of the resection margins, the presence of simultaneous regional recurrence and the local extension of the recurrence. 相似文献
3.
《Revista brasileira de otorrinolaringologia (English ed.)》2020,86(5):609-616
IntroductionSupratracheal laryngectomy has been described as a surgical procedure for glottic or supraglottic cancer extending to the subglottic region and/or involving the cricoarytenoid joint, aiming to preserve laryngeal function (breathing, phonation and swallowing), without diminishing locoregional cancer control. The choice of supracricoid laryngectomy in these cases could result in a high risk of compromised resection margins.ObjectiveTo determine the safety, viability, adequacy of surgical margins and the supratracheal laryngectomy results for intermediate and advanced laryngeal cancer by reviewing the results at three different institutions in Brazil.MethodsThis is a retrospective study that analyzed the charts of 29 patients submitted to supratracheal laryngectomy from October 1997 to June 2017. The type of laryngectomy performed was classified according to the European Laryngological Society classification for horizontal laryngectomies. Early and late results were evaluated. Survival rates (overall, specific, disease-free and total laryngectomy-free survival) were calculated. The mean follow-up time was 44 months.ResultsOf the 29 patients submitted to supratracheal laryngectomy, 25 had no previous treatment. One patient (3.4%) had compromised margins. Four patients (13.8%) had recurrence. Of these, three had local recurrence and one had regional recurrence. Five patients (17.2%) required a total laryngectomy, two due to ruptured pexy and three due to local recurrence. Four of these patients (80%) achieved a successful total procedure. Four patients (13.8%) died, two due to postoperative complications and two due to recurrence. Overall, specific, disease-free and total laryngectomy-free survival at 5 years were, respectively, 82.1%; 88.2%; 83.0% and 80.2%.ConclusionSelected patients with intermediate and advanced laryngeal cancer may benefit from supratracheal laryngectomy, that resulted in total laryngectomy-free survival and specific survival of 80.2% and 88.2%, respectively. 相似文献
4.
目的了解部分喉切除术后患者言语障碍及生存质量的状况,分析言语障碍对患者生存质量的预测作用。方法方便抽样法选择部分喉切除术后6个月内患者84例,采用言语障碍指数量表和头颈肿瘤治疗功能评估量表对患者的言语障碍及生存质量进行评价。结果部分喉切除术后患者言语障碍发生率为48.8%;患者生存质量得分118.78±14.90,头颈部特异模块、情感状况、功能状况维度得分率均低于80%。言语障碍、术后时间、治疗方式、文化程度是部分喉切除术后患者生存质量的预测因素(P0.05,P0.01)。结论部分喉切除术后6个月内患者言语障碍发生率较高,言语障碍对患者生存质量有影响,在术后早期启动言语康复很有必要。 相似文献
5.
Supracricoid partial laryngectomy with cricohyoidoepiglottopexy: Surgical technique illustrated in the anatomy laboratory 下载免费PDF全文
F. Christopher Holsinger MD Chafeek Tomeh MD Michael W. Moore MD Wang Yan MD Crystal Chen MA Ollivier Laccourreye MD 《Head & neck》2015,37(6):906-908
Background.Methods.Results.Conclusion. © 2014 Wiley Periodicals, Inc. Head Neck 37: 906–908, 2015 相似文献
6.
Swallowing,voice, and quality of life after supratracheal laryngectomy: Preliminary long‐term results 下载免费PDF全文
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9.
Lymph node density as an independent predictor of cancer‐specific mortality in patients with lymph node–positive laryngeal squamous cell carcinoma after laryngectomy 下载免费PDF全文
In Sun Ryu MD Jong‐Lyel Roh MD PhD Kyung‐Ja Cho MD PhD Seung‐Ho Choi MD PhD Soon Yuhl Nam MD PhD Sang Yoon Kim MD PhD 《Head & neck》2015,37(9):1319-1325
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