论文部分内容阅读
目的:评价单侧胸骨舌骨肌瓣带舌骨在喉癌喉部分切除术后整复中的效果,探讨其在喉癌喉部分切除术后整复中应用的适应证。方法:回顾性分析73例单侧胸骨舌骨肌瓣带舌骨整复的喉癌患者的临床资料,分别归纳统计手术后进食情况、气管套管拔管率、发声情况以及生存率等,并对不同术式的拔管情况进行统计学分析。结果:总体3年生存率为79.5%,所有患者术后均可拔除胃管经口进食,平均12.9d;气管套管的总体拔管率为76.7%,但各种术式的拔管率有所不同,扩大垂直半喉切除术的拔管率明显低于其他术式;83.6%以上的患者术后发声可以满足日常言语交流。结论:带舌骨的胸骨舌骨肌瓣整复喉癌术后的拔管率、发声和吞咽功能的恢复均较为理想,其中拔管率与手术的术式有关,此种方法扩大了喉癌的切除安全界,较好地保证术后生存率,对于病变范围侧重于一侧的T3～4病例可以取代全喉切除,是一种应用性较强的喉癌术后整复方法。
Objective: To evaluate the effect of unilateral sterno-hyoid muscle flap hyoid in the treatment of laryngectomy after partial laryngectomy, and to explore the indications used in the treatment of laryngeal cancer after partial laryngectomy. Methods: A retrospective analysis of 73 cases of unilateral sterno-hyoid muscle with hyoid repair in patients with laryngeal cancer clinical data were summarized after the food intake statistics, tracheal tube extubation rate, sound conditions and survival rates, etc., and Extubation of different surgical procedures for statistical analysis. Results: The overall 3-year survival rate was 79.5%. All patients underwent gastric tube extubation after operation, with an average of 12.9 days. The overall rate of extubation of tracheal tube was 76.7%. However, The difference is that the rate of extubation in expanding the vertical hemilaryngectomy is significantly lower than that of other surgical procedures. More than 83.6% of the patients have vocalizations to meet the daily verbal communication. CONCLUSION: The recovery rate of voided and swallowing functions after reconstructing laryngeal carcinoma with hyoid hyoid muscle flap is ideal, and the rate of extubation is related to the surgical procedure. This method enlarges laryngeal cancer Of resection of the safety community, to better ensure the survival rate after surgery for the lesion side to focus on one side of the T3 ~ 4 cases can replace total laryngectomy is a more applicable method of laryngeal cancer after surgery.