声门水平切除胸骨舌骨肌喉功能重建术治疗T2期声门癌

Laryngeal function reconstruction with sternohyvoid muscle after partial laryngectomy

目的 探讨喉部分切除后胸骨舌骨肌喉功能重建对T2期声门癌的疗效。方法 对1992～ 1998年 66例T2期声门癌患者行喉声门水平部分切除术 ,同时以胸骨舌骨肌重建声带。结果全部患者术后 2～ 3周均顺利拔管 ,恢复了呼吸、吞咽和发音的全部喉功能。复发 3例 ,复发率为4 5 % ;失访 3例 ,3年生存率为 97 0 % (64 / 66例 ) ,5年生存率为 93 8% (45 / 48)。结论 喉部分切除后胸骨舌骨肌喉功能重建术在保证患者的生存率的同时 。

Objective To study the laryngeal function reconstruction with sternohyvoid muscle after partial laryngectomy to treat T2 phase of glottis cancer Methods 66 patients diagnosed to be at T2 phase of glottis cancer were treated by partial laryngectomy from 1992 to 1998 At the same time, they were rebuilt vocal cords with sternohyvoid muscle Results All patients were decannulated from 2 to 3 weeks They renewed own respiration, swallow and voice function Overall three year survival rate was 97 0% and five year survival rate was 93 8% Conclusion New operation is superior than traditional one in improving survival rate and life quality