中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
23期
24-25
,共2页
颈部复发%中央区和侧颈区淋巴结转移%预后生存%喉癌
頸部複髮%中央區和側頸區淋巴結轉移%預後生存%喉癌
경부복발%중앙구화측경구림파결전이%예후생존%후암
Neck recurrence%Central and lateral cervical lymph node metastasis%Prognosis survival%Laryngeal cancer
目的：分析喉癌患者中央区和侧颈区淋巴结转移、颈部复发以及疾病预后生存情况。方法随机选取2014年1月—2015年1月盘锦市中心医院耳鼻喉外科收治的60例喉癌患者，并且依据治疗方法的不同，分为研究组(30例)和对照组(30例)。给予对照组患者临床治疗中采取常规手术方法治疗，给予研究组患者，应用淋巴结清扫手术，对两组临床侧颈区淋巴结转移、颈部复发、疾病预后生存情况进行分析。结果对两组患者，临床中研究组经药物及淋巴结清扫治疗后，患者中央区和侧颈区淋巴结转移发生率降低，同时患者在疾病预后生存率(P=0.014)、复发率(P=0.025)方面，较对照组比较降低，差异有统计学意义(P<0.05)。结论在临床喉癌治疗中，应用淋巴结清扫手术，可以有效避免中央区和侧颈区淋巴结转移，降低颈部疾病复发，改善患者预后生存情况，发挥临床实际作用。
目的：分析喉癌患者中央區和側頸區淋巴結轉移、頸部複髮以及疾病預後生存情況。方法隨機選取2014年1月—2015年1月盤錦市中心醫院耳鼻喉外科收治的60例喉癌患者，併且依據治療方法的不同，分為研究組(30例)和對照組(30例)。給予對照組患者臨床治療中採取常規手術方法治療，給予研究組患者，應用淋巴結清掃手術，對兩組臨床側頸區淋巴結轉移、頸部複髮、疾病預後生存情況進行分析。結果對兩組患者，臨床中研究組經藥物及淋巴結清掃治療後，患者中央區和側頸區淋巴結轉移髮生率降低，同時患者在疾病預後生存率(P=0.014)、複髮率(P=0.025)方麵，較對照組比較降低，差異有統計學意義(P<0.05)。結論在臨床喉癌治療中，應用淋巴結清掃手術，可以有效避免中央區和側頸區淋巴結轉移，降低頸部疾病複髮，改善患者預後生存情況，髮揮臨床實際作用。
목적：분석후암환자중앙구화측경구림파결전이、경부복발이급질병예후생존정황。방법수궤선취2014년1월—2015년1월반금시중심의원이비후외과수치적60례후암환자，병차의거치료방법적불동，분위연구조(30례)화대조조(30례)。급여대조조환자림상치료중채취상규수술방법치료，급여연구조환자，응용림파결청소수술，대량조림상측경구림파결전이、경부복발、질병예후생존정황진행분석。결과대량조환자，림상중연구조경약물급림파결청소치료후，환자중앙구화측경구림파결전이발생솔강저，동시환자재질병예후생존솔(P=0.014)、복발솔(P=0.025)방면，교대조조비교강저，차이유통계학의의(P<0.05)。결론재림상후암치료중，응용림파결청소수술，가이유효피면중앙구화측경구림파결전이，강저경부질병복발，개선환자예후생존정황，발휘림상실제작용。
Objective To analyze patients with laryngeal carcinoma in central and lateral cervical lymph node metastasis, neck re-currence and prognosis of the disease survival. Methods 60 cases of patients with laryngeal cancer, accepted by the department of otolaryngology in Panjin Central Hospital from January 2014 to January 2015, were randomly selected, and according to the differ-ent treatment methods, were divided into study group (30 cases) and control group (30 cases). The control group was treated with conventional surgical method, while the study group received lymph node dissection, and then the lateral cervical lymph node metastasis, neck recurrence and prognosis of the disease survival cases among the two groups were analyzed. Results Of two groups of patients, the research group after clinical treatment with drugs and lymph node dissection, the incidence of patients’ central and lateral cervical lymph node metastasis reduced, and at the same time, the survival prognosis rate (P=0.014), recurrence rate (P=0.025), compared with the control group, decreased, which statistically significant (P<0.05). Conclusion In the clinical treatment of laryngeal cancer, the application of lymph node dissection could effectively avoid the central and lateral cervical lymph node metastasis, reduce cervical disease recurrence, improve the prognosis of patients survival and play a role in clinical practice.
