CAJ | 학술논문

目的探讨二氧化碳激光手术治疗喉癌的疗效,并分析其适应证和禁忌证.方法 70例声门型或声门上型喉癌患者在全身麻醉显微镜支撑喉镜下,用二氧化碳激光切除肿瘤,对全部患者进行随访,分析二氧化碳激光手术治疗喉癌患者的远期疗效.结果 70例喉癌患者的5年生存率为91.4％,喉局部控制率为81.4％,喉局部复发率为18.6％,颈淋巴结转移率为4.3％.患者术后呼吸通畅,发声良好,吞咽无呛咳,均可进行日常工作和生活.62例声门型喉癌患者的5年生存率和局部控制率分别为91.4％和80.0％.8例声门上型喉癌患者的5年生存率为75.0％,喉局部控制率为75.0％,喉和颈部局部控制率为62.5％.结论喉癌的二氧化碳激光手术远期疗效良好,患者术后恢复快,并发症极少,喉功能的保护好,患者的生存质量较高.术前仔细评估肿瘤范围,严格掌握激光手术适应证是获得良好疗效的关键.激光手术在早期喉癌的治疗中应作为首选方法得到大力推广,而在中晚期和声门上型喉癌患者中的使用应慎重.
목적 탐토이양화탄격광수술치료후암적료효,병분석기괄응증화금기증.방법 70례성문형혹성문상형후암환자재전신마취현미경지탱후경하,용이양화탄격광절제종류,대전부환자진행수방,분석이양화탄격광수술치료후암환자적원기료효.결과 70례후암환자적5년생존솔위91.4％,후국부공제솔위81.4％,후국부복발솔위18.6％,경림파결전이솔위4.3％.환자술후호흡통창,발성량호,탄인무창해,균가진행일상공작화생활.62례성문형후암환자적5년생존솔화국부공제솔분별위91.4％화80.0％.8례성문상형후암환자적5년생존솔위75.0％,후국부공제솔위75.0％,후화경부국부공제솔위62.5％.결론 후암적이양화탄격광수술원기료효량호,환자술후회복쾌,병발증겁소,후공능적보호호,환자적생존질량교고.술전자세평고종류범위,엄격장악격광수술괄응증시획득량호료효적관건.격광수술재조기후암적치료중응작위수선방법득도대력추엄,이재중만기화성문상형후암환자중적사용응신중.
Objective To investigate the long-term outcome of CO2 laser microsurgery for laryngeal cancer.Methods Seventy patients with laryngeal cancer were treated with CO2 laser microsurgery.All patients were followed up for at least 36 months (36-108 months).Results During the 36-108 monthsfollow-up,64 patients were alive,and 6 patients died of recurrence.The total 5-year survival rate was 91.4％,5-year local control rate was 81.4％,5-year local recurrence rate was 18.6％,and the neck metastasis rate was 4.3％.All survivals had normal breathing and good phonation.Conclusions The long-term outcomes of CO2 laser microsurgery for laryngeal cancer are good,with rapid recovery and few complications,well protected laryngeal function and quite good quality of life.Laser surgery should be the priority of treatment for early stage laryngeal cancer.However,laser surgery for advanced laryngeal cancers and suprnglottic laryngeal cancers should be carefully chosen.