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目的探讨晚期喉癌喉行喉部分切除术后喉功能重建的方法。方法对有选择性的16例T3、T4期喉癌患者行垂直侧前位喉次全切除(10例)或水平垂直部分喉切除术(6例),同期采用舌骨肌瓣联合改良会厌瓣进行喉功能重建。结果随访3～5年,3年存活率为87.5%(14/16)、5年存活率为66.6%(6/9),气管套管拔除率为87.5%(14/16),发音功能及吞咽保护功能完全恢复。结论晚期喉癌选择性施行喉功能保全性手术可行,采用舌骨肌瓣联合改良会厌瓣进行喉功能重建能有效恢复喉功能。
Objective To investigate the method of reconstruction of laryngeal function after throat partial laryngectomy in advanced laryngeal cancer. Methods A total of 16 patients with T3 and T4 laryngeal carcinoma underwent subtotal vertical subhormonal anterior subtotal laryngectomy (n = 10) or horizontal partial laryngectomy (n = 6). In the same period, hyoid bone flap combined with modified apelokial flap Throat function reconstruction. Results The follow-up ranged from 3 to 5 years. The 3-year survival rate was 87.5% (14/16) and the 5-year survival rate was 66.6% (6/9). The tracheal tube removal rate was 87.5% (14/16) Swallowing protection fully restored. Conclusions Selective laryngeal preservation surgery is feasible in advanced laryngeal carcinoma. Laryngeal function reconstruction using hypoglossal flap combined with modified ape flap can effectively restore laryngeal function.