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按照喉部癌瘤不同的生长部位和其扩展范围,喉癌切除的手术方案已与昔日单纯依靠喉裂开术和全喉切除术不同。现代喉科和头颈外科医生须结合每例具体情况和不同的要求选用适合本病例的某种术式,要在切除肿瘤的同时尽可能保留喉气管呼吸通道和发音功能。喉与下咽部在解剖上十分邻近,起源于该二处的癌瘤往往相互扩展,因而本文必然会涉及到下咽癌切除和有关应用解剖等问题,现简述如下。
According to the different growth sites of the laryngeal cancer and its extended range, the surgical plan for resection of laryngeal cancer has been different from that of laryngectomy and total laryngectomy. Modern throat surgeons and head and neck surgeons must select a certain surgical procedure suitable for this case in combination with each specific case and different requirements. The laryngotracheal breathing channel and pronunciation function should be preserved as much as possible while resecting the tumor. The larynx and the hypopharynx are very anatomically close. The cancerous tumors that originate from these two sites often expand mutually. Therefore, this article will inevitably involve the problems of hypopharyngeal cancer resection and related applied anatomy. Now it is briefly described as follows.