部分喉切除术几种修复方式的疗效观察

Efficacy of Different Materials in the Repair of the Wound from Partial Laryngectomy

本文报导了我科从１９９０年１月—１９９１年１２月两年间所作的部分喉切除术７４例。其中用移植组织修复的４９例，用作创面修复的组织有：甲状舌骨肌（１３例），胸骨舌骨肌筋膜（３０例），甲状软骨外软骨膜（４例），既用肌肉又用筋膜（２例）。未用移植组织修复只用创面周围粘膜进行修复的２５例。通过对比这两组的远期疗效、生存率、拔套管率的差异均无显著性。但未用移植组织组更具有快速、简便等优点。是否用移植组织进行修复，得根据创面的大小及缺损范围来决定。本文还对用移植组织修复中可能出现的问题进行了分析和讨论。

This article analyzed 74 patients who received partial laryngectomy from Jan.1990 to Dec.1991.These patients were divided into two groups:Repaired group(49 cases)and non repaired group(25 cases).The materials used for repair were several kinds of tissuse included sternohyoideus fascia(30 cases),thyrohold muscle(13 cases),thyro exterperichondrium of thyroid cartilage(4 case),and muscle combined with fascia(2 cases).The non repaired group used only the fascia nearby the operative field .The 3 year fallow up there was no significant difference in survival rate and rate of decannulation.So it was concluded that the non repaired group had more advantages such as:repid and simple,etc.In selecting the appropreate method for the particular patient,the size of the wound and defect left following operation must be considered.