室带会厌瓣转位在声带癌手术中的应用

Application of the displacement of the ventricular bands-epiglottis mucosal flap in the surgical management of glottis carcinoma

目的:探讨声带癌切除术修复方法。方法:回顾分析1996-2004年施行的T2、T3声带癌切除后应用室带会厌瓣转位修复的29例患者的临床资料,肿瘤原发于声带,向上、下范围不超过2cm。结果:所有患者均应用室带会厌瓣转位修复成功,术后随访5年,发声良好,3、5年生存率分别为86.2%和78.9%,拔管率为100%。结论:室带会厌瓣转位修复声带癌,手术操作方便,术后有良好的发声功能和吞咽功能。

Objective：To investigate the plastic method of glottis carcinoma in surgery. Method：Retrospectly analyzed 29 patients with T2 ,T3 glottis carcinoma who admired in our department From 1996 to 2004. All of them were treated with the displacement of ventricular bands-epiglottis mucosal flap in the surgical management of glottis carcinoma. The tumour was primarily from vocal cords, and not exceeded 2cm. Result： All cases were successfully renovated laryngeai cavity with the displacement of ventricular bands-epiglottis mucosal flap and followed up for 5 years after operation. Three years survival rate was 86.2%05 years survival rate was 78.9 % ,and tube drawing rate was 100%. Conclusion.. With this method, surgery would be simplified and the patients would keep the voiced function and swallowing function.