摘要
目的探讨喉部分切除喉功能重建术治疗中、晚期喉癌的可行性。方法对205例中、晚期喉癌患者行喉部分切除术。同期分别采用颈前肌皮瓣、颈前带状肌肌筋膜瓣、会厌瓣、会厌瓣+颈前带状肌肌筋膜瓣、舌骨肌瓣修复喉缺损。结果术后128例拔除气管套管,203例保留了发音功能。患者术后3、5年生存率分别为76.1%、64.7%。结论喉部分切除喉功能重建术治疗中、晚期喉癌可在不降低患者生存率的基础上基本保全发音功能。
Objective ： To explore the value of reconstruction after the partial laryngectomy in patients with advanced laryngeal cancer. Methods： 205 patients with laryngeal cancer were treated by partial laryngectomy. The myocutaneous flap of neck, bi-pedicle bandshapped muscle fascia flap, epiglottic flap, epiglottic flap plus bipedicle bandshapped muscle fascia flap and hyoid bone osteomuscular flap were used to reconstruct after partial laryngectomy respectively. Results： The decannulation rate was 62.44%（128/205） and 203 patients reserved the vocal function. The 3- and 5-year survival rates were 76.1% and 64. 7% respectively. Conclusion： The reconstruction surgery after partial laryngectorny can he performed to reserve the vocal function in patients with advanced laryngeal carcinoma under condition with the survival rate will not decrease.
出处
《山东医药》
CAS
北大核心
2006年第12期3-4,共2页
Shandong Medical Journal
关键词
喉肿瘤
喉切除术
外科皮瓣
修复外科手术
laryngeal neoplasms
laryngectomy
surgical flaps
reconstructive surgical procedures
