改良会厌喉成形术  

Modificated epiglottic laryngoplasty

作　　者：沈志森[1] 赵侃[1] 张宇园[1] 

机构地区：[1]宁波市医疗中心李惠利医院耳鼻咽喉科

出　　处：《临床耳鼻咽喉科杂志》1999年第7期311-312,共2页Journal of Clinical Otorhinolaryngology

摘　　要：目的：探讨声门癌Ｔ３病变在喉大部切除后重建喉支架的手术方法。方法：３６例声门癌Ｔ３病变，在喉大部切除后施行改良会厌喉成形术：①一侧甲状软骨全切除，会厌软骨侧向下移取代；②对侧甲状软骨部分保留，肌筋膜瓣或肌甲状软骨膜瓣修复声带；③会厌前侧缘与甲状软骨前缘对合成锐角前连合，后侧缘与对侧杓部形成后连合，会厌上缘与对侧声带形成新声门。结果：３３例拔管，３０例发声清晰、宏亮且易懂，３例发声低沉沙哑。３年和５年的生存率分别为８９．３％和７７．３％，喉功能稳定率分别为９５．６％和９４．１％。Objective: To investigate the surgical method and effect of laryngeal rehibilitation of patients with glottic carcinoma (T3 category) after extended partial laryngectomy. Method: 36 cases were operated with modificated epiglottic laryngoplasty.The materials for laryngoplasty included the epiglottic and one lateral partial thyroid cartilage and musclecartilage membrane flap and one arytenoid cartilage.The modificated technique was designed. Result: 33 cases were postoperatively in pullingouttube.The voice of 30 cases was clear,loud and comprehensible,but low and hoarse voice in other 3 cases.The 3 and 5 year survival rates were 89.3% and 77.3% respectively.The 3 and 5 year stable rates of laryngeal function were 95.6% and 94.1% respectively. Conclusion:The modificated epiglottic laryngoplasty was effective surgical method for the patients with glottic carcinoma (T3 category).

关 键 词：喉肿瘤 喉切除术 会厌喉成形术 

分 类 号：R739.650.5[医药卫生—肿瘤]