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目的:修复喉部分切除、扩大部分切除及次全喉切除术后缺损,恢复喉功能。方法:应用颈前双蒂转门肌皮瓣,对49例喉癌患者行喉部分或大部切除术,同时进行Ⅰ期喉重建。结果:总的3年生存率为90.6%,其中Ⅲ期、Ⅳ期分别为83.3%、75.0%。全部患者恢复了发音功能,语音近乎正常者89.8%,气管套管拔出率为91.8%,吞咽防护功能全部恢复。结论:该法可获得满意的预后和喉功能恢复效果
Objective: To repair partial laryngectomy, expand the partial resection and subtotal laryngectomy defects, restore laryngeal function. Methods: Forty-nine patients with laryngocarcinoma underwent thoracic or subtotal resection using the anterior cervical double-flap musculocutaneous flap. At the same time, stage Ⅰ throat reconstruction was performed. Results: The overall 3-year survival rate was 90.6%, of which stage Ⅲ and stage Ⅳ were 83.3% and 75.0% respectively. All patients recovered the pronunciation function, the voice was almost normal, 89.8%, the pull-out rate of tracheal tube was 91.8%, and the swallowing prevention function recovered completely. Conclusion: This method can be satisfied with the prognosis and recovery of laryngeal function