CAJ | 학술논문

目的观察环状软骨上喉部分切除的术后效果和术后吞咽功能重建的效果.、方法回顾性分析1990-2008年行环状软骨上喉部分切除术的85例患者的临床资料,比较患者术后发音和进食情况及拔管时间,并进行纤维喉镜及下咽钡餐造影检查,观察新喉口状态.Kaplan-Meier法计算生存率.结果本组患者的3年、5年累积生存率分别为90.4％和81.6％;97.6％(83/85)的患者拔除气管套管；术后6周89.4％(76/85)的患者恢复吞咽功能,余者经锻炼后均能进食.术后6个月喉镜检查见新喉口可良好闭合,造影显示吞咽过程顺利.结论环状软骨上喉部分切除术能够彻底切除肿瘤,术后吞咽、发音效果满意.
목적 관찰배상연골상후부분절제적술후효과화술후탄인공능중건적효과.、방법 회고성분석1990-2008년행배상연골상후부분절제술적85례환자적림상자료,비교환자술후발음화진식정황급발관시간,병진행섬유후경급하인패찬조영검사,관찰신후구상태.Kaplan-Meier법계산생존솔.결과 본조환자적3년、5년루적생존솔분별위90.4％화81.6％;97.6％(83/85)적환자발제기관투관；술후6주89.4％(76/85)적환자회복탄인공능,여자경단련후균능진식.술후6개월후경검사견신후구가량호폐합,조영현시탄인과정순리.결론 배상연골상후부분절제술능구철저절제종류,술후탄인、발음효과만의.
Objective To evaluate clinical outcomes and pronouncing and swallowing functions after supracricoid partial laryngectomy (SCPL).Method Eight-five cases underwent supracricoid partial laryngcctomy from 1990 to 2008 were reviewed.Results The 3-and 5-year accumulative survival rates were 90.4％ and 81.6％,respectively.97.6％ (83/85) patients were decannulated.89.4％ (76/85) were able to eat normally within 6 weeks after surgery and the swallowing functions in the rest patients were recovered by training in different time after surgery.Fiber laryngoscope showed the reconstructed throats could close well with good swallowing tunctions six months after the operation.Conclusion SCPL is a good choice in selected cases with laryngeal cancer,with satisfactory pronouncing and swallowing functions after surgery.