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作者对喉癌患者进行部分喉切除喉成形术,观察半年以上者22例。3例复发,其中1例行全喉切除,一例再次行部分喉切除喉成形术,现已观察11月,一例局部复发又有肺转移。其余19例(包括再次手术病例)均恢复了言语、呼吸及吞嚥功能。另1例发生喉狭窄。作者认为可根据切除范围将喉成形术分为三种基本类型,I型为切除声门部一半,Ⅱ型为切除声门部大部分,Ⅲ型为切除喉的声门上部。颈部带颈阔肌皮瓣或胸骨舌骨肌筋膜,均为喉成形时的良好内衬材料,同种鼻中隔软骨是喉成形术支架的好材料。
The author of laryngeal cancer patients underwent partial laryngectomy laryngoplasty, observed more than six months in 22 cases. 3 cases of recurrence, of which 1 case of total laryngectomy, another case of partial laryngectomy laryngeal angioplasty, has been observed in November, a case of local recurrence and pulmonary metastases. The remaining 19 cases (including re-operation cases) were restored speech, breathing and swallowing function. Another case of laryngeal stenosis occurred. The authors believe that according to the scope of resection laryngeal angioplasty can be divided into three basic types, type I half of the removal of the glottic, type II for the removal of most of the glottic, type Ⅲ for removal of the upper part of the glottic larynx. The neck with platysma flap or sternohyoid myofascial fascia are good lining materials for laryngoplasty, and the same kind of nasal septum cartilage is a good material for laryngoplasty.