高太虎 崔雨田 段东升 康巨瀛 康秀水 030013 太原 山西省肿瘤医院头颈外科 中华耳鼻咽喉科杂志 1999 0 34 6


    关键词：喉肿瘤；喉切除术；存活率；外科皮瓣 期刊 zhebyhzz 0 喉癌喉功能保留手术 fur -->


    

【摘要】目的 探讨双蒂双肌瓣在喉癌声门型 T₃ 病变切除后的喉功能重建。方法 1984～1992年共68例，应用单侧双蒂双肌瓣修复声门型T₃ 病变切除后的创面，并成形和扩大患侧梨状窝,关闭喉腔前壁。结果 5年生存率为73.5%(50/68)，拔管率为91.2%(62/68)，发声良好者占 92.6%(63/68)，所有患者均在 7～20天后恢复经口进食。结论 单侧双蒂双肌瓣对声门型T₃ 病变行喉扩大垂直部分切除术后的修复是目前较理想的方法之一。

Conservative surgery forglottic cancer with vocal cord fixation (T₃ )

GAO Taihu,CUI Yutian,DUAN Dongsheng, etal.Department of Head and Neck Surgery, Shanxi Province Cancer Hospital,Taiyuan 030013

【Abstract】 Objective Tostudy the method of reconstruction of laryngeal function by unilateral bi-pedicled andbi-muscular flaps for glottic cancer of T₃ category. Methods From1984 to 1992, the unilateral bi-pedicled and bi-muscular flaps were used in 68 patientswith T₃ glottic cancer for repairing the surgical defect, enlarging thepiriform recess on the affected side and closing the anterior wall of the laryngeal cavityafter vertical laryngectomy. Results The 5-year survival rate was73.5%(50/68). The decannulation rate was 91.2%(62/68). sixty-three patients hadsatisfactory phonation (92.6%). All patients resumed mouth-food-taking within 7 to 20 daysafter operation. Conclusion The unilateral bi-pedicled and bi-muscularflaps are appropriate for reconstruction of surgical defect in T₃ glotticcancer.

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