胸骨舌骨肌瓣在喉垂直部分切除术中的应用  

The application of sternohyoid muscle flaps in re-construction of the larynx

作　　者：陆建斌 孙旦[1] 黄岳锋 

机构地区：[1]张家港市第一人民医院耳鼻咽喉科,江苏张家港215600

出　　处：《中国耳鼻咽喉头颈外科》2005年第4期221-222,共2页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘　　要：目的研究垂直喉部分切除术后的修复方法。方法对16例T2￣3喉声门型癌行喉垂直部分切除术,术后采用单蒂或双蒂胸骨舌骨肌瓣修复喉缺损。结果术后拔管率93.8%,T2和T3患者5年生存率分别为85.7%、1/2。患者发音质量良好。结论单蒂或双蒂肌瓣的应用,可获得满意的喉功能恢复效果。OBJECTIVE To explore the clinical valueof the sternohyoid muscle flaps in the reconstruction ofthe larynx. METHODS Sixteen cases with Laryngealcancer underwent partial vertical laryngectomy. The ster-nohyoid muscle flaps were used to reconstruct thelarynx. RESULTS After operation, decannulationrate was 93.8 %(15/16). The 3 and 5–year sur-vival rates were 85.7 % (13/14) and 1/2respectively. CONCLUSION Partial vertical laryn-gectomy is a kind of radical operation in selectedcases of glottic cancer. The method of reconstruc-tion with sternohyoid muscle flaps can improve theessential functions of the larynx.

关 键 词：胸骨舌骨肌瓣 喉垂直部分切除术 术中 喉声门型癌 5年生存率 喉功能恢复 修复方法 切除术后 肌瓣修复 发音质量 双蒂肌瓣 喉缺损 拔管率 患者 

分 类 号：R739.65[医药卫生—肿瘤]