| 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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