部分喉切除术治疗喉癌T3及T4病变

为探讨部分喉切除术治疗喉癌Ｔ３，４病变的可能性，回顾总结了１９８０年６月至１９９３年１２月喉癌Ｔ３，４病变行部分喉切除术３１例。术后全部病例均恢复经口进食，均获得不同程度的会话能力。３年及５年生存率分别为６４．５％（２０／３１）及５９．３％（１６／２７）；气管套管拔除率为７１．０％。认为选择性的对部分喉癌Ｔ３，４病变行部分喉切除术是可行的，在保证根治的前提下，保全了喉功能，提高了生存质量。

Partial laryngectomy for treatment of the laryngeal cancer of T3 and T4 categories]

Between 1980 to 1993, 31 patients (27 men and 4 women) with squamous cell carcinoma of the larynx with T3,4 categories undergone partial largngectomy. The 3- and 5-year survival rates were 64.5% and 59.3% respectively. The extubation rate was 71.0% and recurrence rate 19.4%. After opration, the 31 patients have acquired speech function of different degrees and the swallow function returned to normal. The authors concluded that in selected patients with T3,4 laryngeal cancers, partial laryngectomy is feasible and acceptable, which preserves all laryngeal functions and improves life quality.