环状软骨上喉部分切除术斩探讨

目的 通过对１８例喉癌患者的手术治疗，就环状软骨上喉部分切除术的有关问题进行探讨。方法 声门癌Ｔ１ＮｏＭｏ１例，Ｔ２ＮｏＭｏ９例，Ｔ３ＮｏＭｏ２例，跨声门癌Ｔ３Ｎ１Ｍｏ３例，Ｔ３Ｎ２Ｍｏ１例，Ｔ２ＮｏＭｏ放射治疗后复发１例，声门下癌Ｔ４ＮｏＭｏ１例；应用三种不同的环状软骨上喉部分切除术技术进行治疗。结果 ３年生存率９４．４％。所有患者均于术后第７￣４２天（平均１７天）拨除气管套管，拨管率１００％；

Supracricoid partial laryngectomy for laryngeal cancer]

OBJECTIVE: To analyze the key points, especially the indications and contraindications of supracricoid partial laryngectomy (SCPL). METHODS: During the years 1995 to 1996, 18 patients with laryngeal cancer underwent supracricoid partial laryngectomy. Ten of them (55.56%) were classified as T1b and T2 glottic cancers, 8 of them (44.44%) as T3 and T4 glottic cancer or transglottic carcinomas. Three types of supracircoid partial laryngectomy (CHP, CHEP and TCHEP) were employed accordingly. RESULTS: Overall three-year survival rate was 94.40%. All patients were decannulated from 14 to 42 days and all resumed normal oral feeding from 14 to 30 days. Speech was good in all patients. CONCLUSION: The SCPL procedure not only increases local control rate, but also maintains physiologic speech and swallowing.