喉部恶性淋巴瘤29例临床诊治分析

目的：探讨原发性喉部恶性淋巴瘤的临床诊断治疗方案,提出早期诊断此类疾病的合理有效方法。方法：对临床29例病理确诊原发于喉部的恶性淋巴瘤患者临床资料进行回顾性分析,并且与同时期原发于鼻腔鼻窦的恶性淋巴瘤患者临床资料对比分析。结果：29例原发性喉部恶性淋巴瘤病例均进行了手术干预,在术中或术后病理明确诊断后进行了后继的放射及化学综合治疗,病员的平均住院日较原发于鼻腔鼻窦的恶性淋巴瘤患者为长。结论：本病的合理有效的诊断治疗,需早期明确诊断和判定病变累及范围,在尽可能早期获取病理诊断基础上,提高对喉部影像学的认识,对于此类疾病及时制订合理有效的治疗方案,获得更好的预后有着重要意义。

Clinical Analysis of 29 Cases of Malignant Lymphoma in Larynx

Objective： To explore diagnosis and treatment for patients with malignant lymphoma in larynx in order to make reasonable and effective method in early diagnosis of this disease. Methods： Documents on 29 cases proved pathologically to be malignant lymphoma in Larynx were analyzed retrospectively and compared with the documents on cases with malignant lymphoma originated in sinonasal cavity. Results： Tweenty-nine cases were proved to be with malignant lymphoma in larynx pathologically during or after operation, and were treated with radiotherapy and chemotherapy afterwards. The average days in hospital of these cases were longer compared with those with malignant lymphoma originated in sinonasal cavity. Conclusion： Early diagnosis and judgment of areas the lymphoma involved is needed for reasonable and effective diagnosis and treatment of the disease. To raise the understanding of imaging on larynx on the bases of early diagnosis pathologically is important for developing a reasonable and effective therapy plan for such kind of disease.