朱秋蓓,范静平,李 力.显微支撑喉镜下CO2激光治疗声门型喉癌的疗效分析[J].肿瘤学杂志,2012,18(9):648-651. |
显微支撑喉镜下CO2激光治疗声门型喉癌的疗效分析 |
Effect of CO2 Laser Surgery for Glottic Laryngeal Carcinoma Under Microscopic Suspension Laryngoscope |
投稿时间:2012-07-11 |
DOI:10.11735/j.issn.1671-170X.2012.9.B003 |
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中文关键词: 喉肿瘤 声门 激光手术 支撑喉镜 |
英文关键词:laryngeal neoplasms glottis laser surgery suspension laryngoscope |
基金项目:上海市科委临床医学领域重点科技攻关专项课题(09411950800) |
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中文摘要: |
摘 要:[目的] 探讨显微支撑喉镜下CO2激光治疗声门型喉癌的临床应用。[方法] 回顾性分析2007年至2009年61例采用显微支撑喉镜下CO2激光治疗的喉癌患者的临床资料。其中T1N0M0期37例,T2N0M0期24例。[结果] 61例患者手术顺利,无并发症发生。患者随访2.5~4.5年。4例患者因复发行再次手术,1例患者死于心脑血管意外,2例失访。其余54例患者均健在,无肿瘤复发,生活质量良好。3年生存率为95.0%,局部复发率为6.6%。[结论] 显微支撑喉镜下CO2激光是治疗T1、T2期声门型喉癌的有效手术方式,喉功能保全好,创伤小,疗效可靠。 |
英文摘要: |
Abstract:[Purpose] To evaluate the effect of CO2 laser surgery for glottic laryngeal carcinoma under microscopic suspension laryngoscope. [Methods] A retrospective analysis was made on 61 cases (T1N0M0 37 cases,T2N0M0 24 cases) with glottic laryngeal carcinoma treated by microscopic suspension laryngoscope laser surgery during 2007 to 2009. [Results] The operations were successful without any complications. The patients were followed up for 2.5 to 4.5 years. Four patients underwent reoperation because of recurrence,and 1 patient died for cardiovascular accident,while 2 patients were failed to be followed up. The rest 54 patients were still alive without recurrence,with better quality of life. The 3-year survival rate was 95.0%,and the local recurrence rate was 6.6%. [Conclusions] Microscopic suspension laryngoscope laser surgery is effective for glottic laryngeal carcinoma T1 or T2 stage,with less trauma and better laryngeal function. |
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