垂直侧前位喉部分切除带状肌软骨膜瓣修补术在喉癌治疗中的应用

Applicaction of Tenioid Myo-perichondrium Flap Neoplasty of the Larynx for Vertical Frontolateral Partial Laryngectomy in treatment of Laryngocarcinoma

目的分析垂直侧前位喉部分切除带状肌软骨膜瓣修补术在喉癌治疗中的应用价值。方法方便选取该院耳鼻喉科—头颈部外科2012年5月—2015年5月收治的60例喉癌患者作为研究对象,对其采取垂直侧前位喉部分切除带状肌软骨膜瓣修补术治疗,对比分析患者治疗前后的基频微扰、振幅微扰、HNR、接触率,并统计切口愈合率、复发率、3年存活率。结果 60例患者治疗后的基频微扰、振幅微扰、HNR、接触率与治疗前的差值分别为(0.52±0.17)%、(4.49±0.71)%、-(8.28±0.44)d B、-(20.92±2.64),治疗后的各项指标均显著优于治疗前(P<0.05);切口愈合率为100.00%,电子喉镜复查显示喉腔表面光滑湿润,均无肉芽组织形成;复发率1.67%,3年存活率为98.33%。结论垂直侧前位喉部分切除带状肌软骨膜瓣修补术在喉癌治疗中的应用价值高。

Objective To analyze the application value of tenioid myo-perichondrium flap neoplasty of the larynx for verti- cal frontolateral partial laryngeetomy in treatment of laryngoearcinoma. Methods 60 cases of patients with laryngoeareinoma admitted and treated in the department of otorhinolaryngology head and neck surgery of our hospital from May 2012 to May 2015 were selected as the research object and were treated with tenioid myo-perichondrium flap neoplasty of the larynx for vertical frontolateral partial laryngectomy, the jitter, shimmer, HNR and contact rate of patients were compared and analyzed before and after treatment, and the incision healing rate, recurrence rate and 3-year survival rate were counted. Results In the 60 cases, the difference values of jitter, shimmer, HNR and contact rate after treatment and before treatment were re- spectively （0.52±0.17）%, （4.49±0.71）%, （8.28±0.44） dB and （20.92±2.64）, the various indexes after treatment were obviously better than those before treatment, P〈0.05, the incision healing rate was 100.00%, the electronic laryngoscopie review showed that the cover of laryngeal cavity was smooth and moist without granulation tissue formation, the recurrence rate and 3-year survival rate were respectively 1.67% and 98.33%. Conclusion The application value of tenioid myo-periehondrium flap neoplasty of the larynx for vertical frontolateral partial laryngectomy in treatment of laryngocarcinoma is high.