会厌瓣及胸骨舌骨肌肌筋膜瓣在声门型喉癌术中的应用  

Application of epiglottis with sternohyoid muscle in the surgery for laryngeal cancer

作　　者：庞太忠[1] 吴允刚[1] 李晓瑜[1] 高福平[1] 孙余才[1] 李珊[1] 马登殿[1] 

机构地区：[1]山东济宁医学院附属医院耳鼻咽喉头颈外科,272029

出　　处：《中华耳鼻咽喉头颈外科杂志》2012年第6期501-503,共3页Chinese Journal of Otorhinolaryngology Head and Neck Surgery

基　　金：山东省自然基金（ZR2010HL045）

摘　　要：目的探讨会厌瓣及胸骨舌骨肌肌筋膜瓣在声门型喉癌手术中的应用。方法回顾性分析50例声门型喉癌行喉部分切除术患者的临床资料，50例患者临床分期为T2NOM023例，T3N1M014例，T3N2M013例。手术切除肿瘤，应用会厌瓣下拉联合胸骨舌骨肌瓣修复喉腔。30例患者行颈淋巴清扫术。本组患者术后均予以放疗，放疗剂量为60Gy。随访3-5年，中位数4．2年。采用Kaplan-Meier法计算生存率。结果本组患者3年生存率为90％，5年生存率为80％。吞咽、呼吸及发音功能均恢复良好。本组拔管率为96％。结论会厌瓣及胸骨舌骨肌肌筋膜瓣是声门型喉癌术中理想的修复材料。Objective To evaluate the application of epiglottis plus sternohyoid muscle flap in the surgery for laryngeal cancer. Methods Fifty patients with glottis cancer underwent partial laryngectomy and the postoperative laryngeal defects were reconstructed by epiglottis plus sternohyoid muscle flaps. TNM stages： T2NOM0 23 cases,T3NIM0 14 cases, and T3N2M0 13 cases. All patients received postoperative radical radiotherapy with average dosage of 60 Gy. The patients were followed up for 3 to 5 years, median was 4. 2 years. Results The three- and five-year survival rates were 90% and 80% respectively. Most cases were with good swallowing, voice and breath functions. The decannulation rate was 96%. Conclusion Epiglottis plus sternohyoid muscle flap is an opitional technique for the reconstruction of laryngeal functions after partial laryngectomy.

关 键 词：喉肿瘤 修复外科手术 预后 

分 类 号：R739.65[医药卫生—肿瘤]