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目的 探讨不同修复方法对喉垂直部分切除术后喉功能的影响。方法 对 30例声门型喉癌T2 ～T3 病变采用喉垂直部分切除术的患者 ,进行术后发音和呼吸功能回顾性分析。结果 总拔管率 86 6 % (2 6 /30 ) ,甲状软骨膜修复组拔管率 10 0 % (10 / 10 ) ,胸骨舌骨肌单蒂肌瓣修复组拔管率 70 .0 % (7/ 10 ) ,胸骨舌骨肌双蒂肌瓣修复组拔管率 90 .0 % (9/ 10 )。发音良好 12例 ,发音一般 10例 ,发音较差 8例。结论 喉垂直部分切除术治疗声门型喉癌能保证呼吸和发音功能
Objective To investigate the effect of different repair methods on laryngeal function after partial laryngectomy. Methods Thirty patients with glottic laryngeal carcinoma T2 ~ T3 were treated by vertical partial laryngectomy. The postoperative phonation and respiratory function were retrospectively analyzed. Results The total rate of extubation was 86.6% (26/30), the rate of extubation was 10% (10/10) in thyroid peritoneal repair group, and the extubation rate was 70.0% (P < 7/10). The rate of extubation was 90.0% (9/10) in the sternohyoid muscle double pedicled flap repair group. Good pronunciation of 12 cases, the pronunciation of 10 cases in general, poor pronunciation in 8 cases. Conclusion The vertical partial laryngectomy for the treatment of glottic laryngeal cancer can ensure respiratory and phonological function