Majer—Piquet手术治疗喉癌的远期疗效分析

目的 探讨Ｍａｊｅｒ－Ｐｉｑｕｅｔ手术治疗声门型喉癌的远期疗效。方法 对１９９０年１０月￣１９９５年２月间手术的３２例病例进行了临床随访。其中Ｔ１Ｎ０Ｎ０２１型，Ｔ１Ｎ１Ｍ０３例，Ｔ２Ｎ０Ｍ０５例，Ｔ２Ｎ１Ｍ０，Ｔ３Ｎ０Ｍ０和Ｔ３Ｎ１Ｍ０各１例。结果 Ｔ１病例的２、３及５年生存率分别为９５．８％，９３．７％和９０．９％，Ｔ２病例的２、３及５年生存率分别为１００％，８３．３％和６０％。拔管率为９６．

Long term results of Majer-Piquet's operation in the treatment of laryngeal carcinoma]

OBJECTIVE: To investigate the long term results of Majer-Piquet's operation in the treatment of glottic type of laryngeal carcinoma. METHODS: A series of 32 cases operated on between October 1990 and February 1995 were analysed, of whom 21 were T1N0M0, 3 were T1N1M0, 5 were T2N0M0 and 1 each for T2N1M0, T3N0M0, T3N1M0. RESULTS: In T1 cases, 2, 3 and 5 years survival rate were 95.8, 93.7 and 90.9% respectively, while in T2 cases, 2, 3 and 5 years survival rate were 100%, 83.3% and 60% respectively. Decannulation rate was 96.9%. All patients could finally take food by mouth without inspiration, and could speak as soon as decannulated. By modifing the operative technique, the cases operated on after 1994 got relatively better results in phonation. CONCLUSION: Majer-Piquet's operation not only is effective in the treatment of T1, T2 and some T3 glottic type of laryngeal carcinomas, but also can satisfactorily reserve laryngeal function and improve the quality of patient's life.