胸骨舌骨肌在喉癌切除喉功能重建中的应用

The effects of hyoid muscle on reconstruction of laryngeal function in laryngeal cancer

目的:探讨胸骨舌骨肌在喉癌切除喉功能重建中的应用价值。方法:选择2013年9月~2017年1月在我院进行诊治的78例喉癌患者作为研究对象,按照入院顺序,根据随机数字表法分为观察组与对照组各39例,所有患者手术方式为喉部分切除术。对照组应用颈前旋转肌皮瓣进行喉功能重建,观察组应用胸骨舌骨肌进行喉功能重建。结果:术后3个月观察组与对照组的基频与基频微扰都明显低于术前,同时与对照组相比,观察组术后3个月的基频与基频微扰明显较低。观察组术后3个月的皮下气肿、继发感染、肌皮瓣坏死、咽瘘等并发症发生情况明显低于对照组。与对照组相比,术后3个月观察组的睡眠与精力、躯体功能、心理功能、运动与感官等评分明显较高。结论:胸骨舌骨肌在喉癌切除喉功能重建中的应用能提高患者的术后发音功能,减少并发症的发生,促进生活质量的提高,具有广泛临床应用前景。

Objective To investigate the effects of hyoid muscle on reconstruction of laryngeal function in laryngeal cancer. Methods From September 2013 to January 2017, 78 cases of laryngeal cancer patientsin our hospital for diagnosis and treatment were selected as the research object, all the patients were randomly divided into observation group and control group of 39 casesaccorded to the order of admission. All patients were given the partial laryngectomy surgery and were successful completed of surgery. The laryngeal functional reconstruction was performed in the control group by using the anterior rotation myocutaneous flap. the observation group was treated with the reconstruction of laryngeal function with the hyoid muscle. Results The postoperative 3 months of basic frequency and basic frequency perturbation in the observation group and the control group were significantly lower than that before the operation, and the postoperative 3 months of in the observation group were also significantly lower than that of the control group. The postoperative 3 months of incidence of subcutaneous emphysema, secondary infection, muscle flap necrosis and pharyngeal fistula in the observation group was significantly lower than that in the control group. The postoperative 3 months of physical function, sleep and energy, exercise and sensory, psychological function in the observation group were higher than those of the control group. Conclusion The application of hyoid muscle in the reconstruction of laryngeal function in laryngeal cancer can improve the postoperative phonation function, reduce the occurrence of complications and promote the quality of life in the province, soit has a wide range of clinical applications.