声门区淋巴管分布与声门区早期喉癌的治疗

Distribution of lymphatics in glottic region and treatment of early glottic carcinoma

目的：为了进一步弄清喉声门部淋巴管分布的特点，为声门部的喉癌处理提供理论依据。方法：用淋巴管间接注射法，对胎儿、婴幼儿的新鲜尸体喉标本的淋巴管染色进行显微研究。结果：声带游离缘无淋巴管。声带游离缘外侧声带表面内有数条与声带平行的较粗的淋巴管，前后端交织成网；声带游离缘外下方声带内侧面淋巴管丰富、粗大且交织成网。声带游离缘两侧淋巴管分别于前联合粘膜下、声带突粘膜上下相互吻合。声门上、下区淋巴管分别与声门区淋巴管有丰富的吻合。早期声门型喉癌，进行不同的手术治疗，疗效满意。结论：早期声门型喉癌，应行不同的手术治疗，同时也应考虑行综合治疗。

bjective:This study was conducted to make clear the characteristics of lymphatic distribution of glottic portion to provide theoretical base for treatment of early glottic carcinoma.Methods: The distributive characteristics of lymphatics of lymphatics of larynx was studied on 10 fresh dead embryoes, babies and infants corpses by injection of dyes in lymphatic vessel.Results: No lymphatic vessel in the free edge of vocal cords was revealed.A few lymphatic vessels were found running parallel with the vocal cords underneath the surface of the cords next to the free edge.The lymphatics of interior surface of vocal cords were plentiful and interweaved a net as well,which was anastomosed with that of infrglottic portion.Conclusions:Various operative treatments and multiple treatments after operation should be adopted for early glottic carcinoma.