摘要
报告34例喉复发癌的再手术结果。全部为放疗或化疗无效或不能再接受放疗或化疗的患者。手术需暴露和分离颈动脉,同时修复下咽或颈段食管。术者需掌握上纵隔暴露术。术后合并症有咽瘘和颈动脉破裂大出血等,应严密观察患者,作好抢救准备工作。术后1、3和5年生存率分别为63%(19/30)、40%(6/15)、40%(2/5)。手术延长了患者生命。对于其它方法治疗无效的喉复发癌,应尽早再手术治疗。
Thirty-four cases of advanced recurrent laryngeal cancers after operation were treatedsurgically with satisfactory results.Postoperative 1-,3-and 5-year survival rates were 63%,40% and40% respectively.The surgical procedures and experiences were described.We believe that surgicalextirpation should be considered、the best method in the management of advanced recurrent laryngealcancer in spite of operative difficulties and dangers.
出处
《中华耳鼻咽喉科杂志》
CSCD
1994年第1期16-18,共3页
Chinese Journal of Otorhinolaryngology
关键词
喉肿瘤
鳞癌
喉切除术
Laryngeal neoplasms Carcinoma, squamous cell Laryngectomy