摘要
目的：为探讨晚期喉癌切除后发音功能的重建，以达到良好的发音和吞咽效果，提高喉癌患者的生存质量。方法：我们自１９９１年对失去部分喉切除机会的晚期喉癌患者进行了粘膜管成形一期发音功能重建术的研究，共行手术１３例，其中１０例行近全喉切除，仅仅保留了残余披裂，摘除勺状软骨后，利用残余披裂粘膜和延续到气管的一条粘膜瓣缝合成一粘膜管而重建发音功能，３例行全喉切除，用其下咽粘膜合成一粘膜管与气管相延续。结果：除１例术后出现咽瘘，经换药后痊愈外，１２例患者均取得了良好的发音效果而无误咽。结论：该手术方法可使晚期喉癌患者在喉切除后用自身材料一期重建发音功能而取得较理想的效果。
Objective:To study the voice function rehabilitation after laryngectomy in late period laryngeal carcinoma,and to improve the survival quality of patients with laryngeal carcinoma.Methods:Thirteen patients with laryngeal carcinoma were operated,who had lost the chance of partial laryngectomy.During the operation,10 patients′ large portion of larynx were resected,only the survive arytenoid of healthy side was preserved,a mucosa tube was sutured using healthy survive arytenoid and a mucosa strip was connected to the trachea.Three patients′ total larynx were resected,a mucosa tube was sutured using hypo-pharynx.Results:Twelve patients obtained almost normal voice and swallow function.Conclusions:The operation can get good voice and swallow function after laryngectomy in the patients with laryngeal carcinoma.
出处
《中国冶金工业医学杂志》
1998年第6期323-325,共3页
Chinese Medical Journal of Metallurgical industry
关键词
语言康复
喉肿瘤
喉切除术
Rehabilitation,voice Laryngeal neoplasmsa Laryngectomy
