喉部分切除会厌及肌筋膜重建术(附30例报告)

Epiglottic and myofascial reconstruction after partial laryngectomy: with a report of 30 cases

目的 :探讨喉部分切除会厌及肌筋膜重建术的手术方法及适应证 ,观察喉功能恢复情况及并发症 ,提高患者生存率。方法 :为 30例喉癌患者行喉部分切除后会厌下拉肌筋膜成形术。结果 :患者均随访 2年以上 ,喉功能均恢复良好 ,1例T2 N0 M0 术后 12个月颈淋巴结转移 ,行颈廓清术后再次复发 ,后死于肺转移。1例T4 N0 M0 术后 1年局部复发 ,行全喉切除术 ,未再复发。 1例术后发生肺炎 ,2例气管切开处感染 ,均治愈。结论

Objective:To study the operative method and indication of epiglottic and myofascial reconstruction after partial laryngectomy,and observe the recover of laryngeal function and complication.Method:30 cases with laryngeal neoplasms were performed epiglottic and myofascial reconstruction after partial laryngectomy.Result:All were followed up over 2 years with good laryngeal function.1 case of T 2N 0M 0 happened lymphonodi cervicales transferring 12 months after oreration,and re-relapsed after neck dissection,at last died of lung transferring.1 case of T 4N 0M 0 local relapsed 1 year after operation and was performed total laryngectomy without relapse again.1 case had pneumonia after operation,2 cases had infection at the position of tracheotomy,but they were all cured.Conclusion:Epiglottic and myofascial reconstruction after partial laryngectomy is a simple and effect method.