开放的部分水平喉切除术:功能和瘤的结果
Laura Rodrigáñez1, Helena Gómez-Camacho1, Alejandro Castro1
1Oto-rhino-laryngology Department, La Paz University Hospital, Madrid, Spain.
概括
开放的部分水平喉切除术 (OPHL) 提供了与全喉切除术相似的瘤结果,用于精选的喉癌患者. 这种技术还可以实现出色的,稳定的功能结果,保留语音和吞功能.
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:
- 开放部分水平喉切除术 (OPHL) 的使用随着化学辐射和跨口技术的进步而下降.
- 评估OPHL的瘤和功能结果对于其在喉癌管理中的持续作用至关重要.
研究的目的:
- 分析开放部分水平喉腔切除术 (OPHL) 的瘤和功能结果.
- 评估OPHL在患有喉状细胞癌的患者的长期疗效和安全性.
主要方法:
- 在一所大学附属的第三级护理中心进行的回顾性病例系列.
- 包括患有喉平细胞癌的患者,这些患者在2000年至2020年期间接受了开放式水平喉切除术 (OHSL) 或喉部分切除术 (SCPL).
主要成果:
- 分析了112名患者,其中30.4%患有T3-T4瘤.
- 观察到高率的脱管 (93%) 和输卵管中断 (95%).
- 5年喉癌 (LC) 率为T1-T2的90.2%和T3-T4瘤的80.9%;5年喉检查无病生存率 (LEDFS) 为72.1%.
结论:
- 在早期和局部晚期喉瘤的选定患者中,OPHL产生了与全喉切除术可比的瘤结果.
- OPHL提供了优良和稳定的功能结果,在手术后保留了基本功能.
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