累及前连合的早期声门型喉癌的治疗研究进展

Research progress in the treatment of early glottic laryngeal cancer involving anterior commissure

摘要:

早期声门型喉癌是耳鼻咽喉科常见恶性肿瘤，当肿瘤累及前连合时可能会引起复发及影响患者的预后。临床通常采用放疗、手术等治疗方法，放疗除了常规放疗，还有分割放疗、调强放疗等方式，手术治疗则包括开放性手术、微创性手术[经口激光显微手术、低温等离子射频消融术(LTP-RFA)、经口机器人手术]，不同的治疗模式各有其优缺点，目前在临床上何种为最佳治疗模式尚有争议。本文对临床治疗累及前连合的早期声门型喉癌的一系列治疗模式进行阐述，期望为确定最佳治疗模式提供一定的参考。

Abstract:

Early glottic laryngeal carcer is a common malignant tumor in otorhinolaryngology. When the tumor involves the anterior commissure, it may affect the recurrence and prognosis of patients. The disease is usually treated by radiotherapy, surgery and other clinical methods. In addition to conventional radiotherapy, radiotherapy strategies include segmented radiotherapy, intensity modulated radiotherapy, etc. Surgical treatment includes open surgery and minimally invasive surgery [transoral laser microsurgery, low-temperature plasma radiofrequency ablation (LTP-RFA), transoral robotic surgery]. At present, the optimal treatment mode in clinical practice is still controversial. Different modes of treatment have their advantages and disadvantages. In this paper describes a series of clinical treatment models for early glottic laryngeal carcinoma involving anterior commissure. It is expected to provide some reference for determining the best treatment mode.