【摘要】 目的　探讨保留一侧杓状软骨的喉次全切除术的疗效。方法　分析 82例 (Ⅲ期 73例 ,Ⅳ期 9例 ;声门上型 71例 ,声门型 6例 ,跨声门型 5例 )喉鳞状细胞癌患者施行保留一侧杓状软骨的喉次全切除术的远期疗效。结果　 82例均恢复了发音及吞咽功能 ,呼吸功能恢复正常者 84 2 % (6 9/82 )。 82例中发生咽瘘 2例 ,创口感染 6例 ,均保守治愈。 82例随访均满 5年以上 ,失访 5例 ,随访率为 93 9%。 5年内死亡 2 6例 ,其中喉癌局部复发 5例 ,颈淋巴结转移 4例 ,喉癌复发及颈淋巴结转移 4例 ,其他 4例 (心功能衰竭、心肌梗死、肺转移、直肠癌各 1例 ) ,死因不明 4例 ,失访 5例。随访满 10年者 6 8例 ,死亡 30例 (包括 5年内死亡之 2 6例 ,5年后死于喉癌复发 1例 ,死因不明 2例 ,失访 1例 ) ,5、10年生存率分别为 6 8 3% (5 6 /82 )及 5 5 9% (38/6 8)。结论　保留一侧杓状软骨的喉次全切除术对于T3及某些经过选择的T4期喉癌是可行的更多还原

【Abstract】 Objective To discuss the long term results of the subtotal laryngectomy with preservation of an arytenoids cartilage Methods The long term results of the subtotal laryngectomy with preservation of an arytenoids cartilage were analysed in 82 patients with squamous cell carcinoma of larynx(stage Ⅲ 73 cases, Ⅳ9 cases; supraglottic type 71 cases, glottic 6, transglottic 5) Results The functions of speech and deglutition were recovered in 82 patients, and the respirations were normal in 69 of 82 cases (84 2%) Pharyngeal fistula appeared in 2 cases, and the infection of incision wound in 6, but all of them were cured by conservative treatment All of 82 cases were followed up for more than 5 years, 5 cases were lost follow up, so the follow up rate was 93 3% 26 patients died of various causes during 5 years after operation 5 of 26 cases died of local recurrence of laryngeal carcinoma, neck metastasis in 4, others in 4(cardiac insufficiency、myocardiac infarction、lungs metastasis、rectal carcinoma 1 case, respectively)、unknown in 4, lost follow up in 5 68 patients were followed up for more than 10 years, 30 cases were dead(26 cases who died of various causes included during 5 years after operation; died of local recurrence in larynx was 1 case, unknown 2, lost follow up 1, during 5～10 years after surgery) 5、10 years survival rates were 68 3%(56/82) and 55 9%(38/68),respectively Conclusions Subtotal laryngectomy with preservation of an arytenoids cartilage is recommended for T3 and some elective T4 laryngeal carcinoma更多还原