部分喉切除术治疗声门癌的疗效分析

为评价部分喉切除术治疗声门癌的效果，总结１９７４￣１９９４年期间治疗声门癌患者１３２例，随访至１９９４年１２月，获得随访资料者１２６例（９５％），进行统计分析。所有病例均经组织病理学证实为喉癌，根据ＴＮＭ分期、Ｔ１、Ｔ２ ９８例（７７．８％），Ｔ３、Ｔ４ ２８例（２２．２％），１例Ｔ４Ｎ１，其他均为Ｎ０，就诊时全部患者均为Ｍ０。１２６例患者均采用部分喉切除治疗，其中８９例为单纯手术治疗，术前放射治

Validity of partial laryngectomy for glottic carcinoma]

To evaluate the effect of partial laryngectomy for the treatment of glottic carcinoma, 126 patients with glottic carcinoma were reviewed. Between 1974 and 1994, 132 patients with glottic carcinoma were treated. Up to Dec. 1994, 126 cases (95%) had been followed-up and analyzed statistically in this paper. According to TNM classification (UICC 1987), 98 (77.8%) of them were T1.2, 28 (22.2%), T3.4. One patient was T4N1, and the rest 125 were No. All patients were M0 on admission. A total of 126 patients underwent partial laryngectomy. Among these patients, 89 were treated with surgical procedures alone, and 4 received pre-operative 33 post-operative, radiotherapy. Survival curves were plotted by the method of Kaplan and Meier. The results showed that three-year, five year and ten-year survival rates for 126 patients were 94.7%, 89% and 86.1% respectively; Those for group of T1.2 were 97.8%, 95.1% and 93.3%; For T3.4 were 83.2%, 62.7% and 52.3%. All patients preserved their voice and were able to communicate by speech after operation. The function of larynx was satisfactory. It was concluded that partial laryngectomy is preferable choice for the treatment of glottic carcinoma.