目的 :探讨改良 Majer- Piquet手术的可行性及远期疗效。方法 :应用会厌下移 ,环 (气管 )软骨会厌固定术治疗声门型晚期喉癌 2 1例。结果 :3年和 5年的生存率分别为 10 0 %和 85 .7% ,术后拔管率为 95 .2 % ,患者拔管后即可发音 ,所有患者均可经口进食。结论 :改良手术扩大了手术的适应证 ,该手术既能根治病变 ,又能较好地保留喉功能 Objective: To investigate the feasibility and long-term efficacy of modified Majer-Piquet procedure. Methods: The application epiglottic shift, ring (tracheal) epiglottis fixation for the treatment of advanced glottic laryngeal cancer 21 cases. Results: The survival rates at 3 years and 5 years were 100% and 85.7% respectively. The rate of extubation after operation was 95.2%. The patients could be pronounced after extubation, and all patients were able to eat by mouth. Conclusion: Modified surgery expands the indications for surgery, which not only can cure the disease, but also keep the laryngeal function better