自1973年 Billroth 首创全喉截除术后,许多术式相继产生,给喉癌患者带来了生的希望,但术后,患者丧失发音功能、不能用鼻呼吸,变成严重的残疾人,不少患者为此宁死不肯接受手术。我们所遇病人中曾有一半拒绝手术的。几十年来在弥补发音功能缺陷方面,中外学者做过不少努力,如训练食道发音、安装人工喉、配用电子喉等,同时积极改良手术方式,虽然能使多数患者恢复发音功能,但仍有一些患者学不会,或嫌音 Since 1973, Billroth pioneered total laryngectomy, many surgical procedures have been generated for the hope of patients with laryngeal cancer, but after surgery, patients lose the pronunciation function, can not breathe through the nose, become a serious disabled, Many patients would rather die than accept surgery. Half of the patients we encountered refused to operate. In recent decades, Chinese and foreign scholars have done a lot of hard work in remedying the defects of phonetic system, such as training the esophagus, installing artificial throat, using electronic throats, and actively improving the operation method. Although most patients can resume phonetic function, Some patients can not learn, or obnoxious