声门型喉癌T3病变喉部分切除术后疗效评价

　 来源：120online    　 日期：2007-05-06

　　【摘要】　目的　探讨喉部分切除术对声门型喉癌T₃病变的可行性及修复材料的选择。方法　对1986年1月～1994年1月78例行喉部分切除术的声门型喉癌T₃病变患者的术式及修复方法进行了回顾性分析。结果　患者3年、5年生存率分别为88.5%、75.6%，局部复发率15.4%。应用了梨状窝粘膜+甲状软骨板外侧软骨膜、会厌软骨瓣及带状肌双肌双蒂瓣3种方法修复创面，均获得了较好的喉功能恢复。结论　喉部分切除术是根治声门型喉癌T₃病变合理、有效的方式，但不能完全替代全喉切除术，应根据切除范围选择合理的修复方式。

Partial laryngectomy for T₃ glottic carcinoma

HU Junlan, SONG Junjian, GE Junheng, et al.

　　(Department of Otorhinolaryngology, Fourth Affiliated Hospital of Hebei Medical University, Shijiazhuang 050011, China)

　　Corresponding author：HU Junlan

　　【Abstract】　Objective　To explore the possibility of partial laryngectomy for T₃ glottic carcinoma and selection of reconstruction methods.Methods　From January 1986 to January 1994, 78 patients with T₃ glottic carcinomas were treated by partial laryngectomy. The operative techniques and the reconstruction methods were retrospectively analyzed.Results　The overall 3 and 5 years survival rates were 88.5% and 75.6% respectively. The local recurrence rate was 15.4%. The reconstruction methods for laryngeal defect repariring following partial laryngectomy were the use of pyriform sinus mucosa with thyroid perichondrium, epiglottic cartilage and bi-pedicaled and bi-muscular flap of strap muscle. The function of respiration, phonation and deglutition recovered well.Conclusion　The partial laryngectomy is suitable for T₃ glottic carcinoma. The selection of reconstruction method is based on the size of laryngeal defect.

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