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目的 :研究声门型喉癌垂直部分喉切除术后修复方法。方法 :回顾性分析 5 8例声门癌行垂直或扩大垂直部分喉切除术的临床资料 ,总结各种修复术后喉功能恢复情况。结果 :术后 3、5年生存率分别为 87.2 %和80 .5 % ,总拔管率 93.1% ,全部患者均获得不同程度的发音功能 ;误吸 3例 ,全部恢复经口进食。结论 :声门型喉癌术后修复方法主要根据患者病变切除范围而定 ,对于病变切除小者选用带状肌瓣修复最理想 ,对于切除范围大者 ,则用鼻中隔软骨作支架 ;若为次全喉切除 ,则选用 Tucker术式。
Objective: To study the method of repair of vertical part laryngectomy of glottic laryngeal carcinoma. Methods: A retrospective analysis of 58 cases of glottic cancer in the vertical or expansion of the vertical part of the clinical data of laryngectomy, summarizes the recovery of various laryngeal function after repair. Results: The 3- and 5-year survival rates were 87.2% and 80.5% respectively. The total rate of extubation was 93.1%. All patients had different degrees of phonetic function. Three patients had aspiration aspiration, and all of them recovered oral intake. Conclusion: The method of postoperative repair of glottic laryngeal cancer is mainly based on the extent of resection of the lesion, the best choice of band-shaped muscle flap for the lesser lesion, and the nasal septal cartilage for the large excision range. Total laryngectomy, the use of Tucker surgery.