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目的评价喉环状软骨上部分切除-环舌骨吻合术并Ⅰ期喉发声功能重建术的疗效。方法分析2008年1月至2014年9月间收治的88例中晚期喉癌患者的临床资料。结果 88例患者的气管套管拔除时间为(22.6±8.7)d,胃管拔除时间为(28.2±8.4)d;拔管率和发声成功率均为100.0%,3年肿瘤复发率为0.0%,3年生存率为95.5%。76例患者的言语可懂度>95%,12例患者的言语可懂度>90%,分别占总数的86.4%和13.6%;术后1年的基频微扰和振幅微扰均显著低于术前,差异有统计学意义(P<0.05)。结论喉环状软骨上部分切除-环舌骨吻合术并Ⅰ期喉发声功能重建术可有效保留喉的呼吸、发声等基本功能,患者具有较高的3年生存率。
Objective To evaluate the efficacy of partial resection of the annular laryngeal cartilage - hyoid hypospadias and primary thoracic vocal reconstruction. Methods Clinical data of 88 patients with advanced laryngeal cancer admitted from January 2008 to September 2014 were analyzed. Results The tracheal tube removal time was (22.6 ± 8.7) days in 88 patients and (28.2 ± 8.4) days in gastric tube removal. The success rate of extubation and vocalization was 100.0%, and the tumor recurrence rate at 3 years was 0.0% , 3-year survival rate was 95.5%. The speech intelligibility of 76 patients was> 95%, and the speech intelligibility of 12 patients was> 90%, accounting for 86.4% and 13.6% of the total, respectively. The frequency of basic frequency perturbation and amplitude perturbation were significantly lower at 1 year Before operation, the difference was statistically significant (P <0.05). Conclusion The partial laryngectomy of the laryngeal ring cartilage - the hyoid hypospadias and the primary laryngeal phonogenic reconstructive surgery can effectively preserve the laryngeal respiratory and vocal functions. The patients have a high 3-year survival rate.