CAJ | 학술논문

目的：比较改良喉垂直前位部分切除术和改良环状软骨会厌舌骨吻合术对累及前联合或双侧声带的声门型喉癌的临床疗效。方法将48例累及前联合或双侧声带的声门型喉癌患者随机分为FPL组和CHEP组，每组各24例。 FPL患者采用改良喉垂直前位部分切除术，CHEP组患者采用改良环状软骨会厌舌骨吻合术。术后对2组患者的手术基本情况、发音功能、误咽发生率以及术后生存质量进行比较分析。结果2组患者在手术时间、出血量、拔管率、发音功能的恢复以及生存质量上并无明显差异（P＞0．05）。而拔管时间FPL组较CHEP组明显缩短，且误咽率FPL组较CHEP组明显减少（P＜0．05），差异均具有统计学意义。结论改良喉垂直前位部分切除术治疗累及前联合或双侧声带的声门型喉癌，可有效缩短拔管时间，减少患者的痛苦，积极地控制误吸率，可作为治疗该类患者的首选手术方案。
목적：비교개량후수직전위부분절제술화개량배상연골회염설골문합술대루급전연합혹쌍측성대적성문형후암적림상료효。방법장48례루급전연합혹쌍측성대적성문형후암환자수궤분위FPL조화CHEP조，매조각24례。 FPL환자채용개량후수직전위부분절제술，CHEP조환자채용개량배상연골회염설골문합술。술후대2조환자적수술기본정황、발음공능、오인발생솔이급술후생존질량진행비교분석。결과2조환자재수술시간、출혈량、발관솔、발음공능적회복이급생존질량상병무명현차이（P＞0．05）。이발관시간FPL조교CHEP조명현축단，차오인솔FPL조교CHEP조명현감소（P＜0．05），차이균구유통계학의의。결론개량후수직전위부분절제술치료루급전연합혹쌍측성대적성문형후암，가유효축단발관시간，감소환자적통고，적겁지공제오흡솔，가작위치료해류환자적수선수술방안。
Objective To compare the clinical curative effect of glottic laryngeal carcinoma which invading anterior com -missure or bilateral vocal cord , modified frontolateral partial laryngectomy or modified cricohyoidoepiglottopexy was performed . Methods 48 cases of patients with laryngeal cancer who were glottic laryngeal carcinoma which invading anterior commissure or bilateral vocal cord were divided into the FPL group and the CHEP group ,each group was 24 cases.The patients in the FPL group were treated by modified frontolateral partial laryngectomy ,and the patients in the CHEP group were treated by modified cricohyoi-doepiglottopexy .The basic situation,pronunciation feature ,the incidence of aspiration and postoperative quality of life of patients in the 2 groups after surgery was comparatively analyzed .Results There were no significant differences in operation time ,blood loss,decannulation rates,pronunciation function recovery and quality of life in patients of the 2 groups (P>0.05),there had no statistical difference .The decannulation time of patients in the FPL group was obviously shortened than that of patients in the CHEP group ,and the rate of aspiration of patients in the FPL group was decreased significantly than that of patients in the CHEP group (P<0.05),the differences were statistically significant .Conclusion The modified frontolateral partial laryngectomy in treatment of involving former joint or bilateral vocal cords glottis patients with laryngeal cancer ,can effectively shorten the patient's extubation time ,reduce the pain of the patients ,and can get a positive control for the rate of the surgical treatment of patients with postoperative aspiration ,it can be used as first choice surgery for the treatment of these patients .