摘要
目的探讨颈前皮瓣在喉垂直部分切除术中的应用效果。方法对78例声门型喉癌,行喉垂直部分切除术,用颈前皮瓣修复缺损。其中T1aN0M018例,T1bN0M012例,T2N0M030例,T2N1M03例,T3N0M011例,T3N1M04例。结果全部皮瓣均存活,无坏死,术后2周内拔管率为97.43%,全部患者2周内恢复正常饮食。术后1年进行发声功能评定:Ⅰ级5例(6.41%),Ⅱ级46例(58.97%),Ⅲ级21例(26.92%),Ⅳ级6例(7.69%)。术后随访满5年42例,3～4年20例,3年内16例,5例术后2年复发,行喉全切除术+颈清扫+放疗。结论颈前皮瓣是修复声门型喉癌(T3以下)手术的良好材料。
Objective To investigate the practice of reconstruction of new larynx after vertical partial laryngectomy with platysma myocutaneous flap. Methods Plastyma myocutaneous flaps were uesd to 78 glottis laryngeal carcinoma patients who were underwent vertical partial laryngectomy, according to the classfication system UICC 2002, 78 patients were divided as following, T1aN0M018 cases, T1bN0M012 cases, T2N0M030 cases, T2N1M03 cases, T3N0M011 cases, T3N1M04 cases, respectivelay. Results All the flaps were survived well with no necrosis, decannulation rate were 97. 43% and all the patients were rehabited normal diet within two weeks after surgery. Phonation function was evaluated one year after sugery, degree Ⅰ6.41% （5/78）, degree Ⅱ58.97% （46/78）, degree Ⅲ 26. 92% （21/78） and degree Ⅳ 7.69% （6/78） respectively. More than 5 years post-operative follow-up were done in 42 cases, 3 to 4 years 20 cases and within 3 years 16 case. 5 cases were relapsed 2 years after surgery, these 5 cases were performed with total laryngectomy, neck dissection and irradiation. Conclusion Platysma myocutaneous flap is a good material for reconstuction of vertical larygectomy defect, it is worth to be recommended.
出处
《广州医药》
2008年第6期17-19,共3页
Guangzhou Medical Journal
基金
广东省医学科研基金资助项目(A2005544)
