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保留语言功能的部分喉切除术已被认为是治疗某些喉部病变的方法。部分喉切除术虽然能保留嗓音,却常常伴有吞咽功能的紊乱和吸入问题。本文分析了38个部分喉切除术的患者的吞咽功能。因病变部位的不同采取不同的手术方法。主要有:1、半喉切除术。2、单侧会厌上喉切除术,3、双侧会厌上喉切除术等。半喉切除术:切除单侧真声带、假声带、喉室及喉上神经,保留会厌。共进行八例这种手术。因保留会厌,很少出现严重的吞咽障碍。单侧会厌上喉切除术:切除整个会厌、一侧假声带、杓会厌皱襞及同侧喉上神经。共23
Partial laryngectomy with preserved language function has been considered as a treatment for certain laryngeal lesions. Although partial laryngectomy can retain vocal sounds, it is often accompanied by disturbances in swallowing function and inhalation problems. This article analyzed the swallowing function of 38 patients undergoing partial laryngectomy. Different surgical methods are used depending on the lesion. Mainly: 1, half-laryngectomy. 2. Unilateral epiglottic laryngectomy, 3. Bilateral epiglottic upper laryngectomy. Half-laryngectomy: The unilateral true vocal cords, the false vocal cords, the larynx, and the laryngeal nerve were removed and the epiglottis was preserved. A total of eight such surgeries were performed. Because of retention of epiglottis, severe dysphagia rarely occurs. Unilateral epiglottic laryngectomy: removal of the entire epiglottis, one side of the false vocal cord, epiglottis folds, and ipsilateral superior laryngeal nerve. Total 23