甲状软骨外软骨膜瓣在声门癌喉部分切除术中的应用  

Application of Thyroid Perichondrium Flap on Partial Laryngectomy for Glottic Carcinoma

作　　者：余怀生[1] 王学林[1] 谢朝峰 杨燕珍[1] 黄静辉 陈晓瑜[1] 

机构地区：[1]广东省汕头市第二人民医院耳鼻咽喉科,515011

出　　处：《中国眼耳鼻喉科杂志》2006年第6期370-371,共2页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨喉功能重建术中应用甲状软骨外软骨膜瓣修复喉部分切除术后缺损的可行性和疗效。方法对52例声门癌患者切除肿瘤和受累的软骨,以甲状软骨外软骨膜瓣修复组织缺损、重建声门。结果随访2年,术后拔管率为100%,76.9%的患者术后发声较清晰,吞咽功能全部恢复。结论用甲状软骨外软骨膜瓣修复喉部分切除术后缺损、重建声门在技术上是可行的。Purpose To explore the feasibihty and efficacy of application of thyroid perichondrium flap on the reconstruction of larynx after partical laryngectomy for glottic carcinoma. Methods Fifty-two cases with glottic carcinoma underwent partial laryngectomy. The tumors and invaded cartilages were resected completely. A thyroid perichondrium flap was used to repair the defect of larynx in order to reconstruct the glottis. Results The patients were followed up for 2 years. The rate of deconnalation was 100%. 76.9% of the patients had voiced function restored. Swallow function was preserved in all the cases. Conclusion Thyroid perichondrium flap is technologically feasible in repairing the partial laryngeal defect and reconstructing glottis.

关 键 词：外科移植瓣 喉功能重建术 甲状软骨外软骨膜瓣 喉部分切除术 声门 

分 类 号：R739.6[医药卫生—肿瘤]