摘要
目的：修复喉部分切除、扩大部分切除及次全喉切除术后缺损，恢复喉功能。方法：应用颈前双蒂转门肌皮瓣，对４９例喉癌患者行喉部分或大部切除术，同时进行Ⅰ期喉重建。结果：总的３年生存率为９０．６％，其中Ⅲ期、Ⅳ期分别为８３．３％、７５．０％。全部患者恢复了发音功能，语音近乎正常者８９．８％，气管套管拔出率为９１．８％，吞咽防护功能全部恢复。
Objective: To present a new technique of reconstruction after extended partial laryngectomy to restore the essential function of larynx. Methods: Forty nine cases of laryngeal cancer were treated by partial laryngectomy, extended partial laryngectomy and subtotal laryngectomy. The defects of larynx were reconstructed by a bi pedical rotatory muscle skin flap. Results: The three years survival rate was 90.6%, and those at stage Ⅲ and Ⅳ of the patients were 83.3% and 75.0%, respectively. All of the cases resumed acceptable voice, 89.9% enjoyed satisfactory phonation. The decannulation rate was 91 8%. All of the patients returned to normal swallow function. Conclusion: This method can improve the survival rate and the essential function of the larynx.
出处
《第二军医大学学报》
CAS
CSCD
北大核心
1998年第6期501-503,共3页
Academic Journal of Second Military Medical University
