【摘要】 对资料完整的１３５例喉部分切除术的喉癌患者进行了疗效分析，３、５年生存率分别为８６．７％和８３．８％。Ⅰ和Ⅱ期的３、５年生存率为９３．８％和９０．６％，高于Ⅲ和Ⅳ期（７６．４％，７０．４％）；声门区癌３、５年生存率（９０．５％，８７．７％）高于声门上区（７３．３％，６６．７％）。局部复发１４例，颈部转移１１例，远处转移２例，１４例行再次手术治疗，术后２年生存率为６４．３％。所有患者的发音功能均可保留，但受到不同程度的损害；６２．９％的患者术后有不同程度的误吸，经训练后大多可正常进食，只有１例需二次手术关闭喉口。７６．３％的患者可拔管，在已拔管的患者中有２１．４％诉有轻度呼吸不畅，但不影响日常工作。提出喉癌患者行喉部分切除术后的疗效评价应包括两个方面：肿瘤切除的彻底性（生存率）和喉功能恢复的程度。更多还原

【Abstract】 Abstract The effectiveness of partial laryngectomy in 135 patients of laryngeal earcinoma were re-ported. Our patients population consisted of 120 males and 15 females ranging in age from 30 to 74 years. The survival rates of three and five years were 93.8% and 90.6%in stage T1-T2,76.4%and 70.4%in stage T3-T4 respectively. The three and five years survival rates were 90.5%and 87.7%in glottic earcinoma,73.3%and 66.7%in supraglottic carcinoma. There were local recurrence in 14,neck metastasis in 11,distant metastasis in 2. Salvage surgery were performed in 14 cases, with a two years survival rate of 64.3%. The phonate despite voice quali-ty were reserved in all cases. Only one case had closure laryngeal inlet for severe inspiration,and there were inspiration of various degree in 62.9%, but most of them can eating normally after training.The decannulation rate was 76.3%。 The problems of determine the curative effect in partial laryngectomy were discussed.更多还原