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横向中部部分喉切除术与cricothyroidopexy:一种有效的治疗T1b阶段的喉癌
Shiyan Chen1, Hongxun Gong1, Ning Huang1
1Department of Otolaryngology Head and Neck, Fuzong Clinical College, Fujian Medical University, The 900th Hospital of Joint Logistic Support Force, PLA, Fuzhou, China.
Acta oto-laryngologica
|October 14, 2023
概括
横向中部部分喉切除术与cricothyroidopexy (HMPL-CTP) 提供了T1b喉癌的有效治疗方法. 与其他手术选择相比,这种方法显示出有利的喉功能保护和较少的并发症.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 手术瘤学手术瘤学
- 喉癌研究 喉癌研究
背景情况:
- 治疗T1b喉癌通常会导致不理想的结果和语音质量受损.
- 目前针对T1b喉癌的治疗策略需要评估,以提高疗效和功能性保存.
研究的目的:
- 为了评估T1b喉癌的水平中部部分喉切除术与cricothyroidopexy (HMPL-CTP) 的治疗效果.
- 在瘤控制和喉功能方面,将HMPL-CTP与横腔激光微手术 (TLMS) 和前侧垂直部分喉切除术 (FVPL) 进行比较.
主要方法:
- 对73名T1b喉癌患者的回顾性分析.
- 患者被分为三个组:TLMS (n=22),FVPL (n=21) 和HMPL-CTP (n=30).患者被分为三个组:TLMS (n=22),FVPL (n=21) 和HMPL-CTP (n=30).
- 评估的结果包括5年整体存活率,复发率,胎儿状态和喉狭窄.
主要成果:
- 虽然5年总体生存率在各组之间是可比的,但语音质量差异很大.
- A组 (TLMS) 的局部复发率高于B组 (FVPL) 和C组 (HMPL-CTP).
- 与A组和C组相比,B组 (FVPL) 的喉狭窄的发病率更高;在A组的18例和C组的9例中发现了前 commissure 粘附.
结论:
- HMPL-CTP是T1b喉癌的有效治疗方法.
- 这种手术方法提供了有利的喉功能保护和低并发症概况.
- HMPL-CTP提供了一个有前途的替代方案,用于管理T1b喉癌,具有良好的功能结果.
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