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为 23 例喉癌患者行喉大部分切除术,采用下列方法重建喉功能,(1)重建声门关闭功能;(2)重建会厌覆盖功能;(3)保留或重建梨状窝;(4)保护喉上神经和喉返神经;(5)保持宽大的下咽部;(6)切断环咽肌。23 例中21 例获得随访,术后均能发音,术后2~4 周拔除鼻饲管,无误吸及呛咳。5 年生存11 例,生存率 478% 。
Twenty-three laryngeal cancer patients underwent laryngectomy for the most part. Thoracic function was reconstructed using the following methods: (1) reconstruction of glottis closing function; (2) reconstruction of epiglottis coverage; (3) retention or reconstruction of the pyriform sinus; (4) Protect the laryngeal nerve and recurrent laryngeal nerve; (5) to maintain a large hypopharynx; (6) cut off the cricopharyngeal muscle. Twenty-one of the 23 cases were followed up and were able to pronounce their voice after operation. The nasogastric tube was removed 2 to 4 weeks after operation, and no mistaken and coughing was induced. Five years survival in 11 cases, 47.8% survival rate.