楔状中喉切除术

Wedged Medial Laryngectomy

本文报告楔状中喉切除术治疗声门型喉癌２６例，其中Ｔ_（１ａ）８例、Ｔ_（１ｂ）６例、Ｔ_２７例、Ｔ_３５例。喉癌切除较彻底，保留单侧或双侧杓状软骨，并且保留甲状软骨支架，术后喉功能恢复良好。手术方法简便，并发症少，年老体衰患者均能安全地耐受。

Since May 1989,26 cases of glottic cancer were treated by wedged medial laryngectomy.In this series,all cases were No Mo;among them,T_(1α) 8 cases,T_(1b) 6 cases,T_2 7 cases,and T_3 5 cases.This operation could afford a wider resection,and,thereby,a higher survival than other partial laryngectomy;the opposite or bilateral arytenoids coald be retained,and the support of thyroid cartilage was retained after operation,that would probably give a better functional result of larynx.Wedged medial laryngectomy had been confirmed to be simple, having few complications,and better tolerance in elderly debilitated patients.The operative method and experiences were discussed.