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甲状软骨锲形切除在喉癌术喉重建的应用

The Applica tion of Laryngeal Reconstruction of Laryngeal Cancer Surgery
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摘要 目的探讨甲状软骨锲形切除在喉癌术喉重建的应用价值。方法选取我院收治的早期声带癌患者46例,随机分为观察组和对照组各23例,观察组行甲状软骨锲形切除术治疗,对照组采用传统的喉部分切除术治疗。比较两组患者的临床疗效。结果观察组术后发音良好率明显高于对照组,差异具有统计学意义(P<0.05);观察组总拔管率为100%;对照组总拔管率为82.61%,观察组拔管时间及拔管率均明显优于对照组,差异具有统计学意义(P<0.05)。结论甲状软骨锲形切除应用于喉癌术中行喉功能重建,可恢复喉功能,改善和提高患者术后的生存质量,值得临床推广。 Objective To explore the application value of thyroid cartilage wedge resection in la- ryngeal carcinoma of larynx reconstruction. Methods In our hospital early vocal cord cancer pa- tients 46 cases, were randomly divided into the observation group and the control group(n=23), the observation group underwent thyroid cartilage wedge shaped resection, the control group using the traditional partial laryngectomy surgery in the treatment of. To compare the clinical efficacy of the two groups of patients. Results In the observation group, the postoperative pronunciation good rate was significantly higher than that of the control group, the difference has statistical signifi- cance(P〈0.05); observation group, the total pull tube rate was 100%; in the control group, the to- tal decannulation rate was 82.61% in the observed group pull tube time and pull tube was sig- nificantly better than the control group, the difference is statistically significant (P〈0.05). Conclusions Thyroid cartilage wedge .shaped resection for laryngeal carcinoma underwent reconstruction of laryngeal function, recovery of laryngeal function, and improve patients quality of life, worthy of clinical application.
作者 张志雄
出处 《现代诊断与治疗》 CAS 2015年第10期2167-2169,共3页 Modern Diagnosis and Treatment
关键词 甲状软骨锲形切除 喉癌 喉功能 Thyroid cartilage is woven shape excision Laryngeal cancer Laryngeal function
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