改良Amatsu法全喉切除术后的发音重建

Voice rehabilitation of modified Amatsu operation after total laryngectomy

目的 :对全喉切除术后 期气管食管造瘘术式发音重建进行临床评价。方法 :用改良 Amatsu法对 2 0例患者实施全喉切除术后 期发音重建术。结果 :2 0例全喉切除术后发音重建术患者随访 1～ 8年 ,最终有 16例获得发音功能。结论 :全喉切除术后一期完成气管 -食管造瘘发音重建术 ,适用于所有的全喉切除术或同期作根治性颈廓清术及术后放疗的患者 。

Objective:To evaluate voice rehabilitation of one stage tracheoesophagus shunt operation after total laryngectomy.Method:One stage voice rehabilitation of 20 cases for post total laryngectomy was performed with modified Amatsu tracheoesophgeal shunt operation.Result:16 cases developed speech with voice rehabilitation among 20 cases of postlaryngectomy.Conclusion:One stage tracheoesophageal shunt voice rehabilitation applie to all patients with total laryngectomy and with unilateral or bilateral neck dissection at the same time of total laryngectomy and with radiation therapy. The technique is easy and safe. It can resolve the problem of restoration of voice.