摘要
本文将因喉癌喉切除术后应用人工发音钮发声重建术７８例的临床资料进行分析，其中一期安放６６例，发音成功率９５．７％；二期手术１２例，发音成功率５０．０％。手术气管造瘘直径大于２０ｍｍ，按放发音钮采用横切口，且与发音钮的通气管直径大小相同，可减少并发症，提高发音成功率。不发音者其原因考虑为：①环咽肌和咽缩肌痉挛；②术中下咽粘膜和食管粘膜切除过多，术后咽腔和食管狭窄；③高龄和体弱患者。本手术方法简便易行，几乎所有喉全切除患者均可采用此技术，发音亦可保持原有的方言特点。
The clinical data of vocal rehabilitation with man--made pronunciation tube on 78 patients who were performed total laryngectomy because of laryngeal carcinoma, were retrospectively analyzed from 1994 to 1998. There were 53 males and 25 females, ranging in age from 38 to 78 years old. Among 78 cases, 66 cases were applied man--made pronunciation tube one stage, 12 cases second stage. Results showed that the successful rate was 88. 5%(69/78) and the patients had capability to speak fluently. The reasons of failure to speak (9 cases) were local infection, muscular spasm of pharynx, stenosis of the esophageal or pharyngeal cavity and bad health conditions. The surgical procedure and indications of this operation were discussed in details.
出处
《耳鼻咽喉（头颈外科）》
2000年第6期343-345,共3页
Chinese Arch Otolaryngology-Head Neck Surg
关键词
喉肿瘤
喉切除术
癌
康复
言语和语言
Laryngealneoplasms
Laryngectomy
Carcinoma
Rehabilitation,speech and language
