目的探讨保留喉功能的梨状窝癌手术方法和适应证。方法梨状窝癌患者14例,Ⅰ期3例,Ⅱ期5例,Ⅲ期4例,Ⅳ期2例。行保留喉功能的手术治疗,术后放疗40~55 Gy。结果随访5年,14例均恢复发音功能,12例拔管。3年生存率为64.29%,5年生存率为42.86%。结论经严格术前评估,大部分梨状窝癌患者可通过精细手术保留喉正常组织,并通过多种修复方法恢复喉的全部或部分功能。 Objective To investigate the surgical methods and indications of preserving laryngeal function in pear-shaped carcinoma of the nest. Methods There were 14 cases of pear-shaped nest cancer, 3 cases of stage I, 5 cases of stage II, 4 cases of stage III and 2 cases of stage IV. Surgical treatment of preserving laryngeal function, postoperative radiotherapy 40 ~ 55 Gy. Results All the patients were followed up for 5 years. All 14 patients recovered their pronunciation and 12 had extubation. The 3-year survival rate was 64.29% and the 5-year survival rate was 42.86%. Conclusions A rigorous preoperative assessment of most patients with pear-shaped nest cancer preserves normal laryngeal tissue through fine surgeries and restores all or part of the larynx’s function through multiple repair procedures.