论文部分内容阅读
目的 :探讨单蒂胸骨舌骨肌肌筋膜瓣在喉部分切除喉功能重建术中的应用价值。方法 :对 40例喉癌患者进行手术治疗 ,根据不同病变情况 ,采用相应的切除方式 ,以单蒂胸骨舌骨肌肌筋膜瓣重建喉功能。结果 :患者均于术后 10～ 2 0d拔除鼻饲管恢复正常饮食 ,无明显进食呛咳 ;均恢复正常语言交流 ,未出现喉腔闭锁发声失败者 ;3 1例于术后 15d～ 6个月拔除气管套管 ,2例分别于术后 2年和 3年拔管 ,拔管率为 82 .5 % ( 3 3 / 40 )。 3年生存率为 86.6% ,5年生存率为 72 .5 %。结论 :单蒂胸骨舌骨肌肌筋膜瓣适用范围较广 ,是喉部分切除喉功能重建较为理想的方法
Objective: To investigate the value of monostere sternohyoid myofascial flap in partial laryngectomy reconstruction. Methods: 40 cases of laryngeal cancer patients underwent surgical treatment, according to the different pathological changes, using the corresponding resection, with single pedicle sternohyoid muscle fascia flap reconstruction laryngeal function. Results: All the patients were removed from the nasogastric tube at 10 ~ 20d after operation and returned to normal diet without significant cough of cough. All patients returned to normal language exchange and no laryngopharyngeal laryngeal sound failure was found. Among the 31 cases, 15 days to 6 months Two cases of tracheal cannula were removed. Two cases were extubated at 2 years and 3 years respectively. The extubation rate was 82.5% (3/40). The 3-year survival rate was 86.6% and the 5-year survival rate was 72.5%. Conclusion: Single pedicle sterno-hyoid muscle myofascial flap is suitable for a wide range of applications, which is an ideal method for reconstructing laryngectomy