论文部分内容阅读
垂直半喉切除及声带切除术均能成功地治疗T1和T2声门癌。但手术所遗留的组织缺损仍影响术后发音。作者自1990年以来,先后为12例声门癌行垂直中喉切除或声带切除后以胸骨舌骨肌瓣作声带重建。分别经9~33个月的陋访,均获得较满意的发音效果。本义介绍了手术方法。声带重建术建立了形似正常声带,具有提高术后的发盲效果,手术处于同一术野,取材方便、操作简便等优点。并对本手术的解剖基础、手术适应症和反指征、操作中的注意点以及术后是否放疗等问题论述了体会和见解。
Vertical and semi-laryngectomy and vocal cord resection are successful in the treatment of T1 and T2 glottic cancer. However, the tissue defects left over by surgery still affect the postoperative pronunciation. Since 1990, the author has performed reconstruction of vocal fold in the sternohyoid muscle flap after vertical laryngectomy or vocal cord excision of 12 cases of glottic cancer. After 9 to 33 months of hysterical visit, have received more satisfactory pronunciation. The original meaning of the surgical method. Vocal cord reconstruction established a normal vocal cord, with the effect of improving the blindness after surgery, surgery in the same field, easy access, easy to operate and so on. And the anatomical basis of the operation, surgical indications and anti-indications, the operation of attention and postoperative radiotherapy and other issues discussed experience and insights.