Survival analysis of 315 cases of laryngectomy / 临床耳鼻咽喉头颈外科杂志

ABSTRACT

OBJECTIVE@#To investigation the clinic long-term result and explore the prognostic factor of patients with laryngectomy.@*METHOD@#Three hundred and fifteen patients with laryngectomy were analysed. The survival rate and the cause of death were collected from this study.@*RESULT@#Five years later, 233 cases were still alive, 60 cases were dead, 22 cases failed to be followed-up. Overall 5-year survival rate was 73.97%, 5-year survival rate for patients of early stage was 82.69. Whereas, for patients of late stage was 62.64%. Five year survival rate for patients of supraglottic carcinoma, glottic carcinoma, subglottic carcinoma and transglottic carcinoma was respectively 73.76%, 82. 55%, 55.56%, 68.75%. Five year survival rate for patients with partial laryngectomy was 79.89%, whereas, for total laryngectomy was 1.03%. The cause of death were local recurrence and cervical glands metastasis.@*CONCLUSION@#Early diagnosis was the key points to both larynx preservation and survival rate. for improving survival rate, we should handle the indications strictly. remain sufficient security cutting edge and follow-up visit.