舌骨在喉癌喉部分切除术中的应用(附24例分析)  

The application of hyoid bone in partial laryngectomy in laryngeal carcinoma

作　　者：乐家振[1] 高明华[1] 杨海斌[1] 

机构地区：[1]厦门大学附属中山医院耳鼻喉科,361004

出　　处：《福建医药杂志》2006年第5期21-22,共2页Fujian Medical Journal

摘　　要：目的探讨舌骨在喉癌喉部分切除喉功能重建术中的应用价值。方法对24例喉癌患者进行喉部分和喉次全切除术，缺损的喉部全部采用带胸骨舌骨肌和带肩胛舌骨肌的舌骨体做支架修复重建，通过拔管率、恢复吞咽情况及发音质量对其进行评价分析。结果全部病例均在第9～10天顺利拔管和恢复吞咽，22例均恢复较好的发音。结论带胸骨舌骨肌和肩胛舌骨肌的舌骨体适用范围较广，是喉癌部分切除和次全切除喉重建中较为理想的材料和方法。Objective To study the value of hyoid bone in laryngeal function reconstruction after partial laryngectomy. Methods Twenty-four patients diagnosed to be laryngeal carcinoma were treated with partial laryngectomy. Laryngeal function was reconstructed with the body of hyoid bone with sternohyoid or omohyoid muscle flap. The method was evaluated by analysis of the decannulation rate and the function of swallow and phonation. Results All patients were decannulated and recovered their swallow function within 9-10 days. Twenty-two cases could make good phonation. Conclusion The body of hyoid bone with sternohyoid or omohyoid muscle flap is an ideal material with extensive flexibility in laryngeal function reconstruction after partial laryngectomy.

关 键 词：喉癌 喉切除术 舌骨 喉功能重建 

分 类 号：R739.65[医药卫生—肿瘤]