喉癌治疗失败的原因分析

１９７５年至１９９０年间收治喉癌２９１例，３年内复发１５１例，复发率为５１．９％。其中死亡５４例，死于其它疾病者３例，死亡率为１８．５７％。２９１例中，Ⅱ期３１例，Ⅲ期１０２例，Ⅳ期１２４例．混合型未分期３４例。单纯放疗１４２例，喉部分切除４４例，全喉切除４２例，部分喉切除加放疗３７例，局部激光汽化肿块切除２６例。本文将根据临床分期，分型，治疗方法分析其治疗失败的原因。

Analysis of Therapeutic Failure Cause of Carcinoma in The Larynx

cases of carcinoma of the larynx had been treated in our hospital from July, 1975 to July,1990' The recurrence tate of 3 years were 51. 9% (151/291), and the death rate was 18. 57%(54/291). All cases were clinically staged' Among them, 31 cases were staged i, 102cases,,andl24cases ac mixture type 34, 142cases received radiotherapy alon. 44 cases were operated partlarynx resection, and 42 cases whole larynx resection. 37 cases were performed part larynx resection plus radiotherapy. 26 cases received local mass laser excise. Accprding to clinical stage andclassification, we discussed-the best method of all the treatments to carcinoma of the larynx andits recurrence and death causes.