报告对17例喉癌(Ⅱ期12例,Ⅲ期5例)行中段喉次全切除术。10例经3年以上随访,7例已无瘤生存6～8年,2例无瘤生存3～4年,1例复发死亡;9例拔除了气管插管。提示:选择适当的喉癌病例行中段喉次全切除术,可以使一些过去必须行全喉切除的病例得以只切除3/4或4/5的喉组织,既彻底切除了肿瘤又保存了喉功能,从而扩大了喉部分切除术的适应证。 Reported 17 cases of laryngeal cancer (12 in stage II, 5 in stage III) with subtotal laryngectomy. In 10 cases with more than 3 years of follow-up, 7 cases had tumor-free survival for 6 to 8 years, 2 cases had tumor-free survival for 3 to 4 years, and 1 case recurred to death; 9 cases had tracheal intubation removed. Tip: Choosing the right laryngectomy for a partial laryngeal subtotal laryngectomy can remove only 3/4 or 4/5 of the laryngeal tissue that had previously been required for total laryngectomy, both to completely resect the tumor and preserve the larynx. Functionality, thereby expanding the indication for partial laryngectomy.