甲状软骨外膜和胸骨舌骨肌用于声门型喉癌切除喉重建临床分析

Laryngeal function reconstruction with outer thyroid perichondrium and sternohyoid muscle in glottic carcinoma laryngectomy

目的探讨甲状软骨外膜与胸骨舌骨肌用于声门型喉癌喉部分切除喉功能重建的疗效及可行性。方法回顾分析38例声门型喉癌喉部分切除术应用甲状软骨外膜和胸骨舌骨肌进行喉功能重建的临床资料。结果 38例修复组织全部成活,喉腔光滑,拔管率97.4%,均恢复发音、吞咽功能,无并发症发生,5年生存率86.8%。结论声门型喉癌喉部分切除术对于至少保留一侧2/3以上甲状软骨者应用甲状软骨膜和胸骨舌骨肌进行喉功能重建损伤小、效果理想,具有可行性。

Objective To investigate the application of outer thyroid perichondrium and sternohyoid muscle in laryngeal reconstruction in glottic carcinoma partial laryngectomy. Methods 38 cases of glottic carcinoma undergoing partial laryngectomy and laryngeal reconstruction with outer thyroid perichondrium and sternohyoid muscle were retrospectively analyzed. Results All 38 cases survived with satisfactory laryngeal cavities. The decannulation rate was 97. 4% and their pronunciation and swallow functions were recovered well without complications. Five-year survival rate was 86. 8%.Conclusion For the laryngeal carcinoma patients with preservation of at least two-thirds of one-side thyroid cartilage,outer thyroid perichondrium and sternohyoid muscle is an ideal and feasible method to restore laryngeal function.