Analysis of the efficacy of surgical treatment for 80 elderly laryngeal cancer patients with type 2 diabetes

Abstract

Objective To investigate the clinical curative effect of the surgical treatment elderly laryngeal cancer patients with type 2 diabetes. Methods 80 cases laryngeal cancer patients with type 2 diabetes, admitted to surgery 80 cases were randomly divided into observation group and control group. The control group was given perioperative oral glucose-lowering medications, the observation group in perioperative adopted continuously subcutaneous insulin pump infusion to control blood sugar. Compared two sets of patients intraoperative blood glucose level and postoperative blood sugar level,surgical tolerability, the incidence rate of laryngostomic fistula, the length of time and after 3 years,5 years of survival rate. Results The observation group intraoperative blood glucose level and postoperative blood sugar level, surgical tolerability, postoperative in 3 and 5 years survival rates were significantly better than control group( P ＜0.05) ,In the observation group the incidence rate of laryngostomic fistula,the length of time were significantly less than control group ( P ＜ 0.05 ). Conclusion Perioperative period by strengthening the control blood sugar treatment could be inside short time make a patient blood glucose levels drop to the desired level,decrease postoperatic complications,ensure therapeutic effect. Key words: Aged; Laryngeal Neoplasms; Type 2 diabetes,Surgical Procedures, Operaton