T3、T4声门癌扩大部分喉切除术疗效分析

AN ANALYSIS OF CURATIVE EFFECT IN EXTENDED PARTIAL LARYNGECTOMY FOR T3 AND T4 GLOTTIC CANCER OF THE LARYNX

Ｔ３、Ｔ４声门癌常规治疗为喉全切除术，使病人丧失喉功能。为保证在根治肿瘤的前提下恢复喉功能，对８７例晚期（Ｔ３、Ｔ４）声门癌分别行扩大垂直喉切除和次全喉切除术，主要应用双蒂转门肌皮瓣等进行喉腔缺损重建。３年及５年生存率分别为８２．９％及７６．８％。气管套管拔出率为８５．１％，语音近乎正常者８７％，全部恢复经口进食。

T3 and T4 glottic cancer has been a definite indication for total laryngectomy for decades, the postoperative function of the larynx were injured.The purpose is to radical treatment for late glottic cancer by surgery,to restore the essential function of the larynx.87 cases of glottic cancer of T3 and T4 category were treated by extended vertical laryngectomy and subtotal laryngectomy.The laryngeal defect were reconstructed by an rotatory door muscleskin flap etc.The total survival rates in for 3 and 5 years were 829% and 768% respectively.The decannulation rate was 851% and 87% of the aleuts enjoyed satisfactory voice.All cases resumed normal mouthfoodtaking.The selective treatment with extended partial laryngectomy is effective for T3 and T4 glottic cancer.