长期失喉者的喉再造术  

Laryngeal reconstruction of laryngectomee

作　　者：孙兴和[1] 徐振明[1] 

机构地区：[1]解放军第463医院耳鼻咽喉科,沈阳110042

出　　处：《中华耳鼻咽喉科杂志》2000年第4期295-297,共3页Chinese Journal of Otorhinolaryngology

摘　　要：目的　为了恢复长期失喉患者的喉功能。方法　 1990年 10月～ 1999年 11月共行喉再造手术 34例 ,男 33例 ,女 1例。年龄最大 77岁 ,最小 2 7岁 ,平均 5 6 6岁。喉全切除术后 33例 ,其中喉鳞癌 31例 ,喉横纹肌肉瘤 1例 ,甲状腺癌累及喉 1例 ,喉外伤后 1例。失喉的时间为 2～ 72个月 ,平均 18个月。手术特点是 :用颈部肌皮瓣连结咽和气管 ,同时充当会厌 ,力求达到能发音、呼吸和无明显呛咳的目的。结果　全部患者发音清楚 ,可以口头交谈。 1例已拔除气管套管 ,13例日间可完全堵管 4～ 12h。结论　此术式可恢复无喉者的部分喉功能。Objective To restore the laryngeal function of laryngectomee Methods From 1990 to 1999, laryngeal reconstructions were performed in 34 cases of laryngectomee The patients were 33 male, and one female The age range was 27 to 77 years, with a mean age of 56 6 Thirty-three cases were total laryngectomized, one case due to laryngeal injury The duration of alaryngeal was 2～72 months,with a mean of 18 months The characteristic of this operation is that a cervical myocutaneous flap was used to link the pharynx and trachea, to act as an epiglottis Results Speech function in all patients was good One case can breathe through the larynx after decannulation and 13 cases can breath through the larynx in daytime Conclusion Laryngeal reconstruction for laryngectomee is applicable in laryngeal operation

关 键 词：喉肿瘤 喉切除术 无喉 喉再造术 

分 类 号：R739.6[医药卫生—肿瘤]