摘要
目的探讨环状软骨上喉次全切除术后喉功能的恢复。方法分析2002～2004年行环状软骨上喉次全切除术21例喉癌患者,其中声门型14例,行环状软骨-舌骨-会厌固定术；声门上型7例,行环状软骨-舌骨固定术。结果术后30～45天拔管,平均拔管时间为36．4天,拨管率为90．5%(19/21)；大多患者术后有误咽,经训练后全部恢复正常饮食及发音功能但有不同程度的嘶哑。结论环状软骨上喉次全切除术是保留喉功能的有效术式。
OBJECTIVE To evaluate the functional outcomes in patients undergoing supracricoid partial laryngectomy（SCPL）. METHODS Twenty-one cases underwent supracricoid partial taryngectomy with functional reconstruction. In these cases. 14 were glottic cancers （cricohyoidoepiglottopexy, CHEP）, 7 were supraglottic cancers（Cricohyokdopexy, CHP）. RESULTS The mean time of decanulation was36.4 days, decannulation rate was 90.5 %（19/21）. All the patients recovered the function of speech and swallowing, but had variously hoarse. CONCLUSION The SCPL technique is effect in laryngeal functional reservation of laryngeal neoplasms.
出处
《中国耳鼻咽喉头颈外科》
北大核心
2006年第11期737-739,共3页
Chinese Archives of Otolaryngology-Head and Neck Surgery
关键词
喉肿瘤
环状软骨
喉切除术
修复外科手术
Laryngeal Neoplasms
Cricoid Cartilage
Laryngectom
Reconstructive Surgical Procedures
