会厌喉成形术治疗喉声门型癌  

Reconstruction of laryngeal function by epiglottis car-tilage in partial laryngectomy for glottic carcinoma

作　　者：刘鹏[1] 房居高[1] 于振坤[1] 王琪[1] 黄志刚[1] 韩德民[1] 

机构地区：[1]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,北京100730

出　　处：《中国耳鼻咽喉头颈外科》2005年第4期215-217,共3页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的探讨会厌喉成形术的可行性及手术方法。方法喉部分切除术后下移会厌瓣修复残存喉腔的前壁或侧前壁行喉成形术42例。结果患者术后喉功能恢复良好,总拔管率为92.9%,所有患者均于出院前拔除鼻饲管,发音可接受率为88.1%,3年、5年生存率分别为84.6%、77.1%。结论会厌瓣是喉部分切除喉成形术理想的修复材料之一。OBJECTIVE To study the feasibility andthe surgical techniques of the epiglottis laryngoplasty inpartial laryngectomy for glottic carcinoma. METHODSEpiglottis was pulled downward after a total excision ofthe tumor to reconstruct the anterior or anterior-lateralwall of the residual laryngeal cavity. Reconstruction oflarynx by the epiglottis cartilage was performed in 42patients after partial laryngectomy. RESULTS The totaldecannulation rate was 92.9 %. The voice was sociallyacceptable in 88.1 % of the patients. Nasal feeding tubswere pulled out without aspiration in all patients beforethey were discharged. The 3 and 5-year survival rateswere 84.6 % and 77.1 % respectively. CONCLUSIONEpiglottis is one of the ideal material in laryngoplastyafter partial laryngectomy.

关 键 词：会厌喉成形术 喉声门型癌 治疗 喉功能恢复 5年生存率 喉部分切除 手术方法 切除术后 修复材料 会厌瓣 拔管率 鼻饲管 出院前 接受率 前壁 患者 

分 类 号：R739.65[医药卫生—肿瘤] R767[医药卫生—临床医学]