带蒂颈阔肌肌皮瓣在喉重建术中的应用  

Application of Pedicled Platysma Myocutaneous Flaps in Reconstruction of Larynx

作　　者：乔占清 马赛 

机构地区：[1]南阳医专第一附属医院耳鼻喉科,河南南阳473058

出　　处：《肿瘤基础与临床》2009年第6期499-500,共2页journal of basic and clinical oncology

摘　　要：目的探讨带蒂颈阔肌肌皮瓣在喉重建术中的临床应用价值。方法对78例喉癌行扩大部分喉切除术,包括扩大垂直半喉切除术56例,扩大额侧喉切除术14例,次全喉切除术8例。应用颈阔肌皮瓣同期进行缺损喉腔重建。结果本组病例术后气管套管拔除率94.9%(74/78);全部患者恢复了发音功能,其中语言响亮清晰者93.6%(73/78);吞咽防护功能全部恢复;局部复发率7.7%(6/78);3年生存率88.5%(69/78)。结论中晚期喉癌选择性地行扩大部分喉切除术是可行的;应用带蒂颈阔肌肌皮瓣进行缺损喉腔重建可获得较好的喉功能恢复效果。Objective To study the clinical application value of pedicled platysma myoeutaneous flaps in the reconstruction of larynx. Methods 78 cases with laryngeal carcinoma were treated with extended partial laryngeetomy, 56 cases were treated with extended vertical laryngectomy, 14 cases were treated with extended frontolateral laryngectomy, and 4 cases were treated with subtotal laryngectomy. The defects of larynx were reconstructed with pedicled platysma myocutaneous flaps for all patients. Results The decannulation rate was 94.9% （74/78）. All the cases recovered vocal function, the cases who had enjoyed satisfactory phonation accounted for 93.6% （73/78）. All the cases had normal swallow function. The local recurrence rate was 7.7% （6/78）. The survival rate of 3 years was 88, 5% （69/78）. Conclusion The extended partial laryngectomy is a kind of radical operation in selected cases with laryngeal carcinoma. The method of reconstruction with pedicled platysma pedicled myocutaneous flaps can recover the essential functions of the larynx very well.

关 键 词：喉癌 外科皮瓣 喉切除术 

分 类 号：R739.65[医药卫生—肿瘤]