喉癌T_3病变保留喉功能的临床应用  

Clinical Study of Preservation of Laryngeal Function in Treating Laryngeal Carcinoma T_3 Lesions

作　　者：宋志民[1] 刘芳[1] 王敏[1] 张军[1] 雷磊[1] 谢延军[1] 

机构地区：[1]延安大学附属医院耳鼻咽喉科二病区,陕西延安716000

出　　处：《昆明医科大学学报》2013年第11期56-58,共3页Journal of Kunming Medical University

基　　金：陕西省卫生厅科研基金资助项目(2012D19)

摘　　要：目的：探讨喉癌T3病变保留喉功能的有效治疗方法。方法采用单侧双蒂接力肌骨膜瓣,对32例喉癌T3病变患者行扩大垂直喉部分切除术后喉腔结构Ⅰ期重建。结果术后随访1～3 a，患者发音良好，呼吸通畅，未见肿瘤复发。拔管率100%。结论表明喉癌T3病变患者行扩大垂直喉部分切除术，采用单侧双蒂接力肌骨膜瓣重建喉腔结构,既能有效切除肿瘤，又可获得较满意的发音呼吸功能，具有良好的临床应用前景。Objective To explore the effective method for preserving laryngeal function in the treatment of laryngeal cancer of T3 lesions. Methods Utilizing unilateral pedicled muscle-periosteal flap, 32 cases with laryngeal carcinoma of T3 lesions underwent extended vertical partial laryngectomy for laryngeal cavity structure after one-stage reconstruction. Results With 1-3 years postoperative follow-up, the patients had good pronunciation, unobstructed respiration and no tumor recurrence, with extubation rate of 100%. Conclusion It showed that treating patients with laryngeal carcinoma of T3 lesions with extended vertical partial laryngectomy using unilateral pedicled muscle-periosteal flap reconstruction for laryngeal cavity structure can remove tumor effectively and obtain the satisfactory respiratory pronunciation function. The method has a good clinical application prospect.

关 键 词：喉癌 T3病变 扩大垂直喉部分切除术 发音呼吸功能 

分 类 号：R739.6[医药卫生—肿瘤]