摘要
目的探讨喉癌行环状软骨上部分切除术并重建喉功能的疗效。方法选取行环状软骨上部分切除术的18例患者,采用环舌骨固定术和环舌骨会厌固定术进行治疗,观察手术效果。结果发音效果良好,16例拔除气管套管,拔管率为88.9%(16/18)。术后所有患者均有不同程度的误咽,经吞咽训练后都克服了误咽。3年生存率为86.7%(13/15)。结论环状软骨上喉部分切除术是一种既达到肿瘤根治的目的,又保留了喉的功能,是治疗中晚期喉癌安全有效的术式。
Objective To investigate the efficacy of Reconstruction of laryngeal function on the supracricoid partial laryngectomy(SCPL)in advancedcarcinoma of larynx.Methods Selected rows on the cricoid cartilage resection of18cases,adopts the hyoid bone fixation and ring ringtongue and epiglottis fixation treatment,observe the operation effect.Results Pronunciation effect is well,16tracheotomy on the day the decannulationrate was88.9%(16/18).All patients have different degree of aspiration after operation,and overcame aspiration after swallowing training.3year survival rate was86.7%(13/15).Conclusion Supracricoid partial laryngectomy(SCPL)is a kind of both reach the purpose of cancer effect aradical cure,and retained the function of the throat,which is safe and effective operation to treat advanced carcinoma of larynx.
作者
詹善强
段飞
向维仁
汤杰
孔凡琍
Zhan Shan-qiang;Duan Fei;Xiang Wei-ren;Tang Jie;Kong Fan-li(Department of Otorhinolaryngology-Head and Neck Surgery, the First people's Hospital of Jiujiang, Jiujiang, Jiangxi, 332000,China)
出处
《当代医学》
2017年第12期11-13,共3页
Contemporary Medicine
关键词
喉肿瘤
喉切除术
生存率
预后
Laryngeal neoplasms
Laryngectomy
Survival rate
Prognosis
