60例Amatsu改良法发音重建术的临床评价  

Clinic evaluation of 60 cases with modified Amatsu's tracheoesophgeal shunt operation after total laryngectomy

作　　者：张松涛 魏林 黑虎 秦建武 

机构地区：[1]郑州大学附属肿瘤医院头颈外科,河南郑州450008

出　　处：《河南医学研究》2010年第4期443-445,共3页Henan Medical Research

基　　金：河南省医学科技创新人才工程资助项目(2002212)

摘　　要：目的:观察评价喉全切除Amatsu改良法发音重建术的临床效果。方法:2001年6月至2006年1月对60例喉全切除患者一期行Amatsu改良法发音重建术,评价术后发音及吞咽功能。结果:52例(86.7%)术后均获得良好的言语功能,其中吞咽功能正常51例(98.1%),另1例仅在进食流食时可见气管内少量溢液(1.9%)。结论:Amatsu改良法发音重建术能兼顾言语和吞咽功能,有效地防止误咽。Objective： To evaluate the clinic results of modified Amatsu＇s tracheoesophageal shunt operation after total laryngectomy.Methods： One stage voice rehabilitations were performed for 60 cases with modified Amatsu＇s tracheoesophgeal shunt operation.Results： 52 of 96（86.7%） patients kept good voice function,and 51 of 52（98.1%） patients avoided deglutition disorders,but 1（1.9%） cases suffered water drip from his tracheoesophageal shunt when drinking.Conclusion： Modified Amatsu＇s tracheoesophageal shunt operation is advantageous to prevent deglutition disorders as well as to restore the voice function for total laryngectomy.

关 键 词：喉切除术 气管造口术 言语 无喉 吞咽障碍 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]