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目的 :研究喉癌垂直切除及喉功能重建的术式。方法 :依据患者病变的范围 ,为 2 5例喉癌患者分别用 3种术式行喉垂直切除术。 ( 1)垂直侧前位喉大部切除术 ;( 2 )垂直前位喉大部切除术 ;( 3)垂直式喉次全切除术。喉重建取材为 ( 1)带蒂颈阔肌皮瓣或胸骨舌骨肌甲状软骨衣 ;( 2 )带蒂舌骨或会厌复合组织 ;( 3)利用健侧的披裂软骨与下咽粘膜再造喉发音管。结果 :术后 2 3例发音吞咽满意 ,3年生存率为 92 %。结论 :在彻底切除喉癌的同时应保存或重建喉功能 ,喉大部切除后修复喉内创面对整复缺损恢复喉功能有重要作用
Objective: To study the surgical procedures for vertical resection of laryngeal carcinoma and reconstruction of laryngeal function. Methods: According to the range of patients’ disease, three kinds of laryngectomy were performed respectively for 25 patients with laryngeal cancer. (1) vertical lateral anterior laryngectomy; (2) vertical anterior laryngectomy; (3) vertical subtotal laryngectomy. Thoracic reconstructions were (1) pedicelled platysma flacum or sternohyoid thyroid cartilage, (2) hyoid or epiglottis complex, (3) the use of contralateral patella cartilage and pharyngeal mucosa to reconstruct the throat Pronunciation tube. Results: Twenty-three patients were satisfactorily vocalized and satisfied with 3-year survival rate of 92%. Conclusions: Laryngeal function should be preserved or reconstructed while laryngeal cancer is completely removed. Repairing laryngeal wound after partial laryngectomy has an important effect on restoration of laryngeal function