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目的探讨气管食管壁组织瓣法在全喉切除后发音重建的临床疗效。方法对１９８９年８月～１９９７年８月间手术的３２例病例进行临床随访，并评价发音效果。结果术后３周、１年、３年及５年发音总有效率分别为８７．５％、８６．７％、８４．２％及７２．７％，３年及５年的生存率分别为８２．６％及６８．８％。重建失败４例，术后发音变差４例。结论气管食管壁组织瓣法是全喉切除后有效的发音重建方法。
Objective To investigate the clinical effect of tracheal esophageal wall tissue flap phonophora reconstruction after total laryngectomy. Methods Thirty-two cases of operation between August 1989 and August 1997 were followed up and the pronunciation effect was evaluated. Results The total effective rates at 3 weeks, 1 year, 3 years and 5 years after operation were 87.5%, 86.7%, 84.2% and 72.7% respectively. The 3-year and 5-year survival rates were 82.6% and 68.8% respectively. Reconstruction failed in 4 cases, postoperative poor pronunciation in 4 cases. Conclusions Tracheal esophageal wall tissue flap method is an effective method of phonological reconstruction after total laryngectomy.