会厌在喉重建术中的应用  

Application of Epiglottis in Laryngeal Reconstruction

作　　者：谢晋[1] 董频[1] 金斌[1] 於子卫[1] 李晓艳[1] 王杰[1] 屠理强[1] 张佳[1] 

机构地区：[1]上海交通大学附属第一人民医院耳鼻咽喉头颈外科,上海200080

出　　处：《中国眼耳鼻喉科杂志》2007年第3期155-157,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

基　　金：上海市科委重点科研基金(054119550)

摘　　要：目的探讨在喉癌和下咽癌切除术中利用会厌重建喉功能的价值。方法总结1999—2003年38例利用会厌行喉功能重建患者,其中喉癌30例(声门上型4例、声门型25例、声门下型1例),下咽癌8例。根据病变情况采用相应的手术方法,利用会厌行喉功能重建。结果 38例患者均恢复经口饮食和言语交流,喉癌和下咽癌的3年生存例数/随访例数分别为25/30和5/8,5年分别为11/15和2/4。结论会厌是喉功能重建的理想材料。(中国眼耳鼻喉科杂志,2007,7:155-157)Purpose To explore the value of application of epiglottis in laryngeal reconstruction. Methods The data of 38 patients who underwent laryngeal reconstruction with epiglottis from 1999 to 2003 were analyzed retrospectively, in which 30 cases were with laryngocarcinoma （4 cases with supraglottic carcinoma,25 cases with glottic carcinoma and 1 cases with subglottic carcinoma） ,8 cases with cancer of hypopharynx. Laryngeal reconstruction was per- formed using epioglottis in all the patients. Results Functional recovery in peroral feeding and phonation were found in all the patients after surgery. The 3-year survival cases/followed up cases of the laryngocarcinoma and hypopharyngeal carcinoma were 25/30 and 5/8, and the 5-year, 11/15 and 2/4, respectively. Conclusion Epiglottis is a feasible and reliable material in laryngeal reconstruction.

关 键 词：会厌 喉肿瘤 下咽肿瘤 喉重建 

分 类 号：R739.6[医药卫生—肿瘤]