胸舌骨肌在喉部分切除喉缺损修复中的应用  

Application of sternohyvoid muscle flap in partial laryngectomy for glottic carcinoma

作　　者：廖伯才[1] 曹玲[1] 钟磊[1] 梁国庆[1] 陆中友[1] 扬丹[1] 徐幼[1] 

机构地区：[1]四川省自贡市第四人民医院泸州医学院附属自贡医院耳鼻喉科,四川自贡643000

出　　处：《海南医学》2008年第8期51-52,共2页Hainan Medical Journal

摘　　要：目的探讨胸舌骨肌在声门癌喉部分切除术后喉缺损修复中的应用效果。方法对51例T2声门型喉癌行喉部分切除术,术后用胸舌骨肌修复喉腔缺损,重建喉功能。结果术后2～8周拔除气管套管,气管套管拔除率98.1%(50/51);1年、3年、5年生存率分别是100.0%(51/51)、92.2%(47/51)、86.8%(33/38),3年局部复发率为5.9%(3/51)。结论胸舌骨肌修复喉部分切除术后喉缺损,在肿瘤根治的同时,能恢复喉功能、提高患者生存质量。Objective To study the effect of sternohyvoid muscle flap on partial leryngectomy for glottic carcinoma. Methods 51 patients diagnosed to be at T2 phase glottic carcinoma were treated by vertical laryngectomy from February 1991 to December 2004. At the same time, we used the steruohyvoid muscle flap to repair the defect left after partial laryngectomy for rebuilding laryngeal function. Results The 50 patients were decannulated from 2 to 8 weeks after operation. The decannulation rate was 98.1% （50/51）, The one-year, three-year, five-year survival rates for 51 patients with T2 phase glottic carcinoma were 100%（51/51）, 92.2（47/ 51）, 86.8%（33/38） respectively. The recurrence rate was 5.9%（3/51） in 3 year. Conclusion Partial laryngectomy is a kind of radical operation with reservation of laryngeal function and improvement of life quality. The sternohyvoid muscle flap is one of the valuable tissue flaps used to repair the tissue defect following partial laryngectomy.

关 键 词：喉肿瘤 喉切除术 外科皮瓣 生存率 

分 类 号：R739.65[医药卫生—肿瘤]