喉部分切除术创面修复问题

Repair of the Traumata Caused by Partial Laryngectomy

报道我院１９８０年４月～１９９２年３月喉部分切除术，其中创面修复组７８例，创面未修复组８４例。经对比研究，发现术后创面愈合时间、吞咽功能和呼吸功能恢复时间、术后并发症和生存率两组间差异均无显著性。

At present,the wound caused by partial laryngectomy are repaired by using many kinds of tissues in order to avoid infection,granuloma and laryngeal stenosis.It is unclear whether the traumata has to be repaired by transplant tissues or non-repaired traumata will lead to laryngeal dysfunction. This article analyzed 162 patients who received partial laryngectomy from April 1980 to March 1992.These patients had been divided into two groups: repaired group(78 cases) and non-re-paired group(84 cases). Repair material used included sternohyoideus fascia(57 cases),thyro-hyoideus fascia(9 cases),throat musculus flap(6 cases),stemocleido-mastoideus fascia(3 cases) and throat flap(3 cases) .The result indicated that there were no significant differences in respiration swallow recovery time and so on,So we concluded that non-repaired group has similar curative effeet to repaired gorup and re-pairing the traumata(eswtally minor traumata) with the fascia around the traumata is an effective method.