摘要
目的 :观察声门型喉癌SCPL -CHEP术后喉功能重建的结果 ,评价该术式对保留喉功能的价值。方法 :回顾分析 37例声门型喉癌行SCPL -CHEP术后吞咽功能、呼吸功能、语言功能的恢复情况。其中T1b4例 ,T2 2 1例 ,T3 12例。结果 :随访 2～ 5年 ,多数患者有不同程度的误吸 ,除 1例外余者经训练均能克服吞咽障碍 ,3例拔管困难 ,拔管率为 89.2 %。 33例 (89.2 % )术后主观语言功能评估指标达到日常要求 ,但有不同程度的声嘶。结论 :严格掌握手术适应证 ,提高手术技巧 ,科学的术后护理和指导 ,能改善SCPL -CHEP术后吞咽障碍 ,提高拔管率。SCPL -CHEP术或是声门型喉癌保留喉功能的有效术式。
Objective: To evaluate the laryngeal functional reconstruction in glottic carcinoma who underwent supracricoid partial laryngectomy with cricohyoido epiglottopexy (SCPL-CHEP) . Method: 42 cases of glottic carcinoma with SPCL-CHEP were retrospectively analyzed the laryngeal function about postoperative deglutition disorder, respiratory, and the phonation . There were 4 cases of T 1b , 21 cases of T 2 , 12 cases of T 3 . Result: Followed up for 2 to 5 years, 1 case (2.4%)had to undergo total laryngectomy caused by serious deglutition disorder with complications in cerebral vasal disorder, the others had taken over the deglutition disorder after training. 3 cases had difficultly decannulated, the rate of decannulation was 89.2%. Most of the patients had variously hoarse, but 33 cases(89.2%) could suit the needs of daily life.Conclusion: The SCPL-CHEP technique is effect in laryngeal functional reservation of glottic carcinoma.
出处
《山东大学基础医学院学报》
2003年第3期154-155,共2页
Journal of Preclinical Medicine College of Shandong Medical University
