摘要
目的分析室带下移与接力肌甲状软骨外软骨膜瓣两种方法对喉癌喉部分切除术患者术后喉功能重建临床应用价值。方法将48例患有喉癌且首次行部分切除术的患者作为研究对象,将其按照术后修复的不同分为两组,两组患者分别采用接力肌甲状软骨外软骨膜瓣与室带下移两种方法进行喉功能的重建,统计分析两组患者的临床有效性和安全性。结果气管套管的拔管率为95.8%(46/48);其中室带组患者的气管套管的拔除率高于接力肌组,且拔管时间较接力肌组短,两组患者的胃管拔除率均为100.0%,且室带组患者的拔除时间短于接力肌组,患者术后2周均恢复了经口进食且未发生误吸或呛咳;所有患者均可以采用新喉进行发音,且未发生由于喉腔闭锁而发音失败的情况;有2例患者术后经电子喉镜检查显示其喉腔狭窄,而大部分患者的喉腔均较宽敞。结论室带下移和接力肌甲状软骨外软骨膜瓣两种方法均可对术后患者的喉功能进行修复,并较好的重建其喉腔的形态,还能完整保留患者喉的基本生理功能,且简便而有效,具有较好的临床应用价值。
Objective To analyze relay muscle thyroid cartilage membrane flap and ventricular band postoperative laryngeal function reconstruction in patients with larynx resection. Methods 48 cases of laryngeal cancer underwent partial resection for the first time were divided into 2 groups depending on the postoperative restoration,respectively,using the relay muscle thyroid cartilage membrane flap and ventricular band laryngeal function reconstruction,clinical efficacy and safety were analyzed. Results The trachea cannula decannulation rate was 95. 8%( 46/48); 2 weeks after surgery were restored through the mouth to eat without aspiration or choking cough; All patients can use new laryngeal pronunciation,and not as a result of laryngeal cavity closure pronunciation failed; 2 patients postoperative via electronic laryngoscope examination showed the laryngeal cavity stenosis,and the majority of patients of laryngeal cavity were more spacious. Conclusion Relay muscle thyroid cartilage membrane flap and ventricular band can be carried out on the postoperative patients of laryngeal function restoration,and better reconstruction of the laryngeal cavity shape,also can completly retain the basic physiological function of patients with laryngeal,and is simple and effective,and has good clinical application value.
作者
邓玫
朱力
罗伟
DENG Mei;ZHU Li;LUO Wei(The First Affiliated Hospital of Chengdu Medical College,Chengdu,610500)
出处
《实用癌症杂志》
2018年第6期898-901,共4页
The Practical Journal of Cancer
关键词
室带下移
接力肌甲状软骨外软骨膜瓣
喉肿瘤
喉部分切除术
喉功能重建
Ventricular band
Relay muscle outside thyroid perichondrium flap
Laryngeal cancer
Larynx resection
Laryngeal function reconstruction