摘要
目的 :探讨在治疗不同期喉癌喉部分切除术中不同的喉功能修复术式的疗效。方法 :对 30例 T2 ,部分 T3 声门型喉癌喉部分切除术后分别以胸骨舌骨肌 ,甲状软骨膜 ,颈前皮肤 ,Tucker's术修复喉功能。结果 :全部喉功能恢复占 83.3% (2 5/ 30 ) ,部分喉功能恢复 10 0 .0 %。结论 :对不同期喉癌喉部分切除后的功能修复术应采用不同的修复方法。病变范围越小 ,术后全部喉功能恢复率越高。喉部分切除时应作喉探查 ,以便彻底切除喉肿瘤的同时 。
Objective:To investigate the effect of different type of larygoplast on glottic cancer.Method:Sternohyoid muscle flap,thyroid perichondrium,cervical pedicle skin flap were applied to provide reliable replacement of defect resulting from cancer excision in 30 cases of T 2 and some T 3 glottic cancer.Result:The recovery rate of total laryngeal function and partial laryngeal function was 83 3%(25/30) and 100 0% respectively.Conclusion:Different type of glotticplasty should be chosen according to different glottic cancer.The smaller the range of glottic cancer,the better the laryngeal functional recovery.The laryngeal exploration is necessary to be included in partial laryngectomy for complete cancer excision.[Chinese Arch Otolaryngol Head Neck Surg,2000;7(1):27~29 From the Department of Otolaryngology,First Affiliated Hospital of Nanjing Medical University,Nanjing,210029 (Dr.Lin Ziping)]
出处
《耳鼻咽喉（头颈外科）》
2000年第1期27-29,共3页
Chinese Arch Otolaryngology-Head Neck Surg
