摘要
目的 :探讨喉癌喉切除术后的整复方法及其疗效。方法 :回顾作者在 1975～ 1995年施行喉癌喉切除术并作喉功能重建的 10 9例临床资料 ,包括 T1 5例 ,T2 4 6例 ,T346例 ,T4 12例。其中喉全切除术 33例 ,部分喉切除术 76例。分别采用肌瓣、粘膜、筋膜、舌骨、会厌软骨、甲状软骨、皮瓣及咽气管吻合等方法进行新喉重建。结果 :呼吸、发音、吞咽功能恢复的成功率为 92 .7% ,气管导管拔除率为 80 .7% ,术后死亡 1例。本组病例 3年生存率为 81.7% ,5年生存率为6 9.7% ,1例病人已如正常人存活 2 2年。结论 :无论是喉全切除或喉部分切除术 ,在彻底切除癌肿后 ,均可选用合适的修复技术重建新喉 ,恢复喉功能 ,提高患者的生存质量。
Objective:To investigate the effect of reconstruction after laryngectomy on patients with laryngeal carcinoma.Methods:One hundred and nine patients with laryngeal carcinoma were treated by surgery from 1975 to 1995.The clinical stages were T 1 in 5,T 2 in 46,T 3 in 46 and T 4 in 12.The total laryngectomy was performed in 33 cases,partial laryngectomy in 76 cases.The reconstruction of the new larynx used the myocutaneous flaps,mucosa,fascia,hyoid bone,epiglottis cartilage,thyroid cartilage and the techniques of pharynx and trachea anastomosis respectively.Results:The laryngeal function resumed in 92 7%,the decannulation rate was 80 7%.The 3\|year and 5\|year survival rate was 81 7% and 69 7% respectively.Conclusion:The reconstruction surgery of the laryngeal function after laryngectomy had important significance for improvement the life quality of patients in adopt appropriate selective indications
出处
《耳鼻咽喉（头颈外科）》
2002年第4期213-216,共4页
Chinese Arch Otolaryngology-Head Neck Surg
