晚期喉癌喉切除后粘膜管成形发声功能重建术

Voice rehabilitation by mucosa tube performed after near-total and total laryngectomy for the treatment of advanced laryngeal carcinoma

报告对因侵犯范围较广而失去部分喉切除机会的晚期喉癌患者 ,行次全喉或全喉切除粘膜管成形发声功能重建术。 13例中 10例行近全喉切除 ,仅仅保留了残余披裂 ,摘除杓状软骨后 ,利用残余披裂粘膜和延续到气管的一条粘膜瓣缝合成一粘膜管而重建发声功能 ;3例行全喉切除 ,用其环后粘膜以及临近的粘膜缝合成一粘膜管与气管相延续。 13例均取得了良好的发声效果而无误咽。认为该手术是晚期喉癌患者在喉切除后 ,采用自体材料施行

This paper introduced a new operative method which would rehabilitated voice for the advanced laryngeal carcinoma patients after near total and total laryngectomy.All 13 patients had lost chance of partial laryngectomy.Near total laryngectomy were performed for 10 patients, only the survivor arytenoid of healthy side was preserved,a mucosa tube was sutured by using healthy survivor arytenoid and a mucosa strip which was connected to the trachea.Total larynx of three patients were resected,a mucosa tube was sutured by using postarytenoid and neighbor mucosa.The postoperative follow up was 2 mouth to 6 years,all patients had near normal voice and normal swallow function.