摘要
目的探讨垂直侧前位喉部分切除带状肌软骨膜瓣修补术在喉癌治疗中的应用。方法回顾性分析33例选用垂直侧前位喉部分切除带状肌软骨膜瓣修补术治疗的喉癌患者的临床资料,其中声门型31例,声门上型2例。TNM 分型 T_1N_0M_015例,T_2N_0M_0 16例,T_3N_0M_02例。术前怀疑有颈淋巴结转移的4例患者同期行选择性颈清扫术。结果所有患者随访2.0～5.5年。其中1例术后1年出现喉癌复发,患者拒绝治疗;1例因手术创面瘢痕致喉腔狭小而未拨管;其余病例均一次性拔除气管套管,吞咽、呼吸及发音功能均有所改善。结论垂直侧前位喉部分切除带状肌软骨膜瓣修补术是治疗 T_1,T_2和部分 T_3期声门型喉癌的有效术式。(中国眼耳鼻喉科杂志,2007,7:290-291)
Purpose To investigate the application of tenioid myo-perichondrium flap neoplasty of larynx for the vertical frontolateral partial laryngectomy in the treatment of laryngeal carcinoma. Methods Thirty-three patients with laryngeal carcinoma who were treated with this surgical procedure were analyzed retrospectively, including 31 cases of glottic carcinoma and 2 cases of supraglottic carcinoma. There were 15 cases of T1 N0M0, 16 of T2N0M0 and 2 of T3N0M0 according to the TNM staging. Among them ,elective neck dissection was performed in 4 cases during the operation for the possibilities of cervical lymph nodes metastasis. Results All the patients were followed up from 2 to 5.5 years. One case recurred one year later and refused to accept further treatment. Most tracheal catheters were extracted at one time with the function of deglutition, respiration and vocalization recovered. One patient failed to accept tracheal catheter extracting due to shrinked laryngeal cavity caused by cicatricial contracture of the operation area. Conclusions The surgery of te- nioid myo-perichondrium flap neoplasty after vertical frontolateral partial laryngectomy is effective for the treatment of the Tl ,T2 and parts of T3 staging glottic laryngeal carcinoma. （ Chin J Ophthalmol and Otohinolaryngol,2007 ,7 ：290-291 ）
出处
《中国眼耳鼻喉科杂志》
2007年第5期290-291,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
基金
江西省卫生厅资助项目(20021030)
关键词
喉癌
喉部分切除
手术
声门
Laryngeal carcinoma
Partial laryngectomy
Operation
Glottis
