摘要
目的 :探讨T3声门癌喉功能保留手术的方法和临床疗效。方法 :对 75例T3声门癌患者进行手术治疗 ,切除肿瘤后以会厌、双蒂接力肌甲状软骨膜瓣、颈阔肌皮瓣、胸骨舌骨肌筋膜瓣、颈阔肌筋膜瓣、甲状软骨膜瓣等修复组织缺损并重建喉功能。 结果 :全组病例 3年生存率83.2 % ,5年生存率 73.6 %。 6 2例患者于术后 2周～ 6个月拔除气管套管 ,拔管率为 82 .7%。结论 :T3声门癌在彻底切除肿瘤的前提下保留喉功能是可行的。熟练掌握多种修复方法 ,择优采用 。
Objective:To explore the methods of surgery and evaluate the long term result of preservative surgery for T 3 glottic cancer.Method:Seventy five cases with T 3 glottic cancer were treated surgically from 1989 to 1999.The lesions were removed entirely, the epiglottis, bi pedicled myoperichondral flap, platysma myocutaneous flap, sternohyoid myofascial flap, platysma myofascial flap, thyroid perichondral flap were utilized to restore the defects of larynx and reconstruct the laryngeal functions.Result:The 3 and 5 year survival rates were 83.2 % and 73.6 % in all cases. 82.7 % had all laryngeal functions(voice, respiration and deglutition) restored and 17.3 % partially restored(voice and deglutition).Conclusion:Preservative surgery can be carried out for T 3 glottic cancer with the lesions entirely removed. Choosing and following what is optimum from multiple feasible surgical methods is a prerequisite for better laryngeal functions.
出处
《临床耳鼻咽喉科杂志》
CSCD
北大核心
2003年第6期325-327,共3页
Journal of Clinical Otorhinolaryngology
关键词
喉肿瘤
喉切除术
喉功能重建术
Laryngeal neoplasms
Laryngectomy
Larynx reconstruction
