喉水平垂直部分切除术治疗晚期喉癌

目的 评价喉水平垂直部分切除术治疗晚期（Ｔ３，Ｔ４）喉癌的效果。方法 回顾性分析１９８４～１９９４年采用该术式治疗的５７例Ｔ３，Ｔ４病例的生存率和喉功能保留情况。结果 本组病例３年自下而上率为７０％（４０／５７），５年生存率为６４％（３２／５０）。本组患者均保留了发音功能，需带管呼吸者４例，拔管率为９３％（５３／５７），，经过鼻饲和使用带气囊气管套管锻炼，患者均可经口进食。清楚死亡原因的病例共１５

Horizontal-vertical hemilaryngectomy for advanced laryngeal cancer]

OBJECTIVE: To evaluate the adequacy of horizontal-vertical partial laryngectomy in the treatment of advanced laryngeal cancer. METHODS: We retrospectively reviewed 57 patients with advanced laryngeal cancer (T3 or T4 on the primary site) treated by horizontal-vertical hemilaryngectomy. Fifty-six patients underwent neck dissections. RESULTS: The overall 3- and 5-year survival rates were 70% (40/57) and 64% (32/50), respectively. All patients had good phonation and resumed mouth-feeding after surgery. Among all the deaths, 4 died of recurrence of laryngeal cancer, 4 cervical metastasis, 4 distant metastasis, 2 intercurrent disease and 3 unknown. Of 36 patients with N0 neck, fifteen cases (15/36, 41.6%) had lymph node metastases pathologically. CONCLUSION: Horizontal-vertical hemilaryngectomy is satisfactory for the treatment of selected advanced laryngeal cancers. It also preserves laryngeal functions in most cases.