解除环咽肌失弛缓在发声重建中的临床意义  

Clinical significance of reducing cricopharyngeal dysfunction on voice restoration

作　　者：赵臣[1] 何晓松[1] 刘芳贤[1] 左冬至[1] 王宏伟[1] 

机构地区：[1]桂林医学院附属医院耳鼻咽喉头颈外科,广西桂林541001

出　　处：《临床耳鼻咽喉头颈外科杂志》2012年第21期975-976,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

基　　金：广西壮族自治区科学技术厅科技攻关与新产品试制(No:桂科攻0999007)

摘　　要：目的:探讨环咽肌失弛缓对喉全切除术后安装Groningen发声钮发声重建的影响及解除失迟缓的方法。方法:56例喉癌患者中,15例行一侧环咽肌切断术,16例行双侧咽丛神经切断术,25例同时行上述2种术式;比较不同术式的成功率。结果:43例成功,其中进行一侧环咽肌切断术组的发声成功率为60.0%(9/15),双侧咽丛神经切断术组的发声成功率为为62.5%(10/16),同时行一侧环咽肌切断和双侧咽丛神经切断术组的发声成功率为96.0%(24/25),均较其他2组的成功率高(均P<0.05)。结论:同时行一侧环咽肌切断和双侧咽丛神经切断具有更高的发声成功率。To discuss the effect of reducing the cricopharyngeal dysfunction on the Groningen prosthesis voice restoration following total laryngectomy and the effect of different methods. Method： Fifty-six patients were implanted with Groningen voice protheses to rebuild voice after total laryngectomy. The clinical data were analyzed retrospectively, Result：Of 56 patients, 42 patients successed in voice restoration. The success rate of amputating pharynx plexus nerves group was 60.0%, amputating cricopharyngeal muscle group was 62. 5%, and the amputating pharynx plexus nerves and cricopharyngeal muscle group was 96.0%. Conclusion： The combination of pharynx plexus nerves resection and cricopharyngeal myotomy can make higher success rate of voice restoration.

关 键 词：喉肿瘤 喉全切除术 发声重建 发声钮 

分 类 号：R766[医药卫生—耳鼻咽喉科]