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目的 探讨喉部分切除术后发声功能重建的临床疗效。方法 施行手术 2 1例 ,采用胸舌骨肌瓣修复喉缺损同时行声带重建。手术创面均用粘膜覆盖 ,若粘膜大范围缺损 ,同期移植口腔粘膜覆盖。结果 19例 10～ 30天恢复经口进食 ,拔管率 90 5 % (19/ 2 1) ,发音良好者占 85 7% (18/2 1) ,总 3、5年生存率分别为 76 2 % (16 / 2 1)和 73 7% (14/19)。结论 喉部分切除并维护喉的正常解剖形态 ,有利于患者恢复良好的吞咽和发音功能 ,提高了生存质量。
Objective To investigate the clinical effect of vocal reconstruction after partial laryngectomy. Methods Twenty-one cases underwent surgery, and thoraco-hyoid muscle flap was used to repair laryngeal defects with vocal cord reconstruction. Surgical wounds were covered with mucosa, if the mucosal defect over a large area, the same period transplanted oral mucosa coverage. Results 19 cases of oral rehydration 10 to 30 days, extubation rate 90 5% (19/2 1), good pronunciation accounted for 85 7% (18/2 1), the total 3,5-year survival rates were 76 2 % (16/2 1) and 73 7% (14/19). Conclusion The partial laryngectomy and maintaining the normal anatomy of the larynx are beneficial to the patients recovering the good swallowing and phonation function and improving the quality of life.