Effect of laser endoscopic surgery and laryngectomy on respiratory as well as swallowing functions in patients with laryngeal carcinoma

HONG Yuangeng; YAO Liping; YE Xiaowu

doi:10.7619/jcmp.20201939

Journal of Clinical Medicine in Practice > 2021 > 25(4): 26-28, 33. > DOI: 10.7619/jcmp.20201939

HONG Yuangeng, YAO Liping, YE Xiaowu. Effect of laser endoscopic surgery and laryngectomy on respiratory as well as swallowing functions in patients with laryngeal carcinoma[J]. Journal of Clinical Medicine in Practice, 2021, 25(4): 26-28, 33. DOI: 10.7619/jcmp.20201939

Citation:

PDF (644 KB)

Effect of laser endoscopic surgery and laryngectomy on respiratory as well as swallowing functions in patients with laryngeal carcinoma

Department of Otolaryngology, Beihai People's Hospital of Guangxi Zhuang Autonomous Region, Beihai, Guangxi, 536000

More Information

Received Date: December 30, 2020
Available Online: March 14, 2021
Published Date: February 27, 2021

Graphical Abstract

Abstract

Abstract

Objective To investigate the effect of laser endoscopic surgery and laryngectomy on respiratory as well as swallowing functions in patients with laryngeal carcinoma.
Methods Eighty patients with early laryngeal carcinoma were randomly divided into group A and group B, with 40 cases in each group. Group A was treated with CO₂ laser surgery under supporting laryngoscope, and group B was treated with laryngectomy. The recovery, X-ray Videofluoroscopic Swallowing Study (VFSS) results, Modified Penetration-aspiration Scale (MPAS) score and Gugging Swallowing Screen (GUSS) score were compared between the two groups.
Results The operation time and hospitalization time in the group A were significantly shorter than those in the group B (P < 0.05); at 12 months after operation, the number of mucosa smooth in the group A was significantly higher than that in the group B (P < 0.05); at 14 postoperative days, the MPAS score of the group A was significantly lower than that of the group B (P < 0.05); at 30 postoperative days, the GUSS score of the group A was significantly higher than that of the group B (P < 0.05). The total number of cases with complications in the group A were significantly lower than those in the group B (2 cases versus 23 cases, P < 0.05).
Conclusion CO₂ laser surgery is more effective in the treatment of patients with early laryngeal carcinoma, which can effectively improve the breathing and swallowing functions of patients, relieve pain of patients, reduce the incidence of complications, and achieve good postoperative rehabilitation effect.
- partial laryngectomy,
- CO₂ laser surgery under supporting laryngoscope,
- laryngocarcinoma,
- respiratory function,
- swallowing function

FullText(HTML)

References (18)

References

[1]	乐慧君, 陈思宇, 李芸, 等. 喉癌诊疗策略及进展[J]. 临床耳鼻咽喉头颈外科杂志, 2019, 33(11): 1017-1021. https://www.cnki.com.cn/Article/CJFDTOTAL-LCEH201911003.htm
[2]	PIAZZA C, PADERNO A, GRAZIOLI P, et al. Laryngeal exposure and margin status in glottic cancer treated by transoral laser microsurgery[J]. Laryngoscope, 2018, 128(5): 1146-1151. doi: 10.1002/lary.26861
[3]	桂意华, 周艳, 陈芳芳, 等. 不同术式对喉部分切除术患者吞咽功能的影响[J]. 中华现代护理杂志, 2020, 26(6): 717-720. doi: 10.3760/cma.j.issn.1674-2907.2020.06.004
[4]	蔡波. 三种不同手术方式治疗早期声门型喉癌的疗效及对患者呼吸功能、吞咽功能和发音情况的影响[J]. 中国医师杂志, 2019, 21(7): 1078-1080. doi: 10.3760/cma.j.issn.1008-1372.2019.07.031
[5]	李宏建. 系统使用Gugging吞咽功能评估量表对急性缺血性卒中患者的影响[J]. 国际脑血管病杂志, 2019, 27(1): 55-56. doi: 10.3760/cma.j.issn.1673-4165.2019.01.104
[6]	李晓丽, 李建斌, 李晓慧, 等. 支持喉镜下CO₂激光术对早期声门型喉癌患者嗓音功能及血清相关细胞因子水平的影响[J]. 海南医学, 2017, 28(11): 1759-1761. doi: 10.3969/j.issn.1003-6350.2017.11.013
[7]	冯华君, 陈嘉, 赵飞鹏, 等. 两种修复方式在喉部分切除术后喉功能重建中的应用价值[J]. 中国现代医学杂志, 2016, 26(1): 132-136. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXDY201601027.htm
[8]	SHUMAN A G, LARKIN K, THOMAS D, et al. Patient reflections on decision making for laryngeal cancer treatment[J]. Otolaryngol Head Neck Surg, 2017, 156(2): 299-304. http://pubmedcentralcanada.ca/pmcc/articles/PMC5528848/
[9]	赵守然. 喉裂开声带切除术对喉癌患者的呼吸功能和吞咽功能的影响[J]. 中国医药导刊, 2017, 19(1): 3-4. https://www.cnki.com.cn/Article/CJFDTOTAL-DKYY201701003.htm
[10]	徐凌, 牛银花, 苏日格, 等. 支撑喉镜下CO₂激光术治疗声门型喉癌的疗效观察[J]. 中国医师杂志, 2019, 21(2): 215-219. https://cdmd.cnki.com.cn/Article/CDMD-10183-1014270663.htm
[11]	OBID R, REDLICH M, TOMEH C. The treatment of laryngeal cancer[J]. Oral Maxillofac Surg Clin N Am, 2019, 31(1): 1-11. http://www.ncbi.nlm.nih.gov/pubmed/30449522
[12]	李新龙, 杨昌国. 喉癌患者环状软骨上喉部分切除术后吞咽功能评估方法的研究[J]. 现代肿瘤医学, 2019, 27(18): 3226-3229. https://www.cnki.com.cn/Article/CJFDTOTAL-SXZL201918014.htm
[13]	桂意华, 邬振华, 黄琦, 等. 吞咽功能评估量表在喉功能保全术后患者吞咽康复中的应用[J]. 中华现代护理杂志, 2019, 25(25): 3280-3283. doi: 10.3760/cma.j.issn.1674-2907.2019.25.026
[14]	李剑峰, 陈火星, 李欣, 等. 低温等离子射频消融术治疗早期声门型喉癌32例的效果分析[J]. 中国基层医药, 2019, 26(15): 1793-1797. https://www.cnki.com.cn/Article/CJFDTOTAL-HLWK202005056.htm
[15]	石栋梁, 杜涛, 习国平. CO₂激光在喉癌喉裂开喉部分切除术中的应用[J]. 河北医科大学学报, 2015, 36(2): 156-158. https://www.cnki.com.cn/Article/CJFDTOTAL-HBYX201502015.htm
[16]	郑紫恒, 周英发, 任景丽, 等. hMLH1、hMSH2、hMSH6在中青年散发性结直肠癌中的表达及对预后的影响[J]. 郑州大学学报: 医学版, 2018, 53(2): 165-170. https://www.cnki.com.cn/Article/CJFDTOTAL-HNYK201802007.htm
[17]	董玉科, 李玉杰, 黄炜. CO₂激光联合等离子射频消融术对早期声门型喉癌相关细胞因子水平的影响[J]. 中国现代医学杂志, 2019, 29(6): 69-72. https://www.cnki.com.cn/Article/CJFDTOTAL-ZXDY201906017.htm
[18]	徐夏, 邓文婷, 黄成志, 等. 喉内镜下等离子消融术与开放性手术治疗早期喉癌的疗效对比[J]. 山东大学耳鼻喉眼学报, 2019, 33(2): 81-85. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYU201902017.htm

[1]	MIAO Wenjie, WANG Huimin, ZHOU Hang, LU Baocai, LIAN Rong. Effect of laryngeal function reconstruction of sternohyoid muscle inversion for treatment of glottic carcinoma[J]. Journal of Clinical Medicine in Practice, 2024, 28(17): 41-44, 50. DOI: 10.7619/jcmp.20242602
[2]	HE Xiwu, TIAN Fengxuan, ZHANG Qiang. Clinical effect of swallowing function training on reducing lung infection in craniocerebral injury patients with tracheotomy[J]. Journal of Clinical Medicine in Practice, 2017, (15): 25-28. DOI: 10.7619/jcmp.201715007
[3]	LYU Yan, WU Yushu, GAO Feng. Effect of respiratory training on respiratory function and life quality of patients with advanced lung cancer during chemotherapy[J]. Journal of Clinical Medicine in Practice, 2017, (6): 33-35. DOI: 10.7619/jcmp.201706010
[4]	WANG Kuan, LIU Yanhong, YANG Huiwei. Influence of naloxone on respiratory function and blood gas analysis indexes of patients with respiratory failure[J]. Journal of Clinical Medicine in Practice, 2017, (5): 46-48. DOI: 10.7619/jcmp.201705013
[5]	ZHAO Jun, LI Yongcheng. Effect of doxofylline combined with respiratory function training on the clinical efficacy, pulmonary function and blood related indexes of patients with COPD induced by emphysema[J]. Journal of Clinical Medicine in Practice, 2017, (3): 19-21,28. DOI: 10.7619/jcmp.201703006
[6]	GUO Liping, DONG Xiaofang, SONG Zhihong. Effect of respiratory function training on pulmonary function in patients with lung cancer in Ⅲ a stage[J]. Journal of Clinical Medicine in Practice, 2016, (18): 35-38. DOI: 10.7619/jcmp.201618012
[7]	JIANG Yajuan, WANG Yue, LIU Jiang. Effect of respiratory muscle evaluation and training on postoperative respiratory function of patients in department of thoracic surgery[J]. Journal of Clinical Medicine in Practice, 2016, (12): 70-72. DOI: 10.7619/jcmp.201612022
[8]	WANG Shuying, LIU Lei. Effect of ulinastatin on respiratory function and inflammatory stress of patients with severe pneumonia[J]. Journal of Clinical Medicine in Practice, 2016, (7): 34-37. DOI: 10.7619/jcmp.201607010
[9]	QIAN Keyan. Bedside swallowing function screening and rehabilitation nursing in the application of Parkinson's disease[J]. Journal of Clinical Medicine in Practice, 2015, (2): 14-16. DOI: 10.7619/jcmp.201502005
[10]	DENG Pan, YUAN Hui. The efficacy observation of respiratory function training for lung cancer patients during perioperation[J]. Journal of Clinical Medicine in Practice, 2014, (8): 38-40. DOI: 10.7619/jcmp.201408013

Cited By

Get Citation

PDF

XML

Article views (297) PDF downloads (15)

Turn off MathJax

Article Contents

Abstract

References

Effect of laser endoscopic surgery and laryngectomy on respiratory as well as swallowing functions in patients with laryngeal carcinoma

Abstract

References

Related Articles

Catalog

Effect of laser endoscopic surgery and laryngectomy on respiratory as well as swallowing functions in patients with laryngeal carcinoma

Abstract

References

Related Articles

Catalog

Export File

Citation

Format

Content