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目的 :探讨垂直喉部分切除术后前联合重建避免喉腔狭窄的疗效。方法 :总结因喉癌行垂直喉部分切除前联合重建术 5 9例患者的临床资料。结果 :随访 5年后 ,患者生存率为 1 0 0 % ,拔管率达 98 3 1 %(5 8/ 5 9)。结论 :用颈部半厚皮瓣重建前联合 ,明显减少了喉腔粘连狭窄和肉芽组织增生 ,新喉功能恢复良好。
Objective: To investigate the efficacy of combined pre-thoracotomy and vertical reconstruction for avoiding laryngeal strictures. Methods: To summarize the clinical data of 59 patients with laryngeal cancer who underwent combined pre-vertical partial laryngectomy. Results: After 5 years of follow-up, the survival rate was 100% and the rate of extubation was 98 3 1% (58/59). Conclusion: The reconstruction of the neck with a half-thickness flap before the joint, significantly reduce the stenosis and granulation tissue throat hyperplasia, new laryngeal function recovered well.