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目的：研究喉扩大或喉次全切除术后喉腔的修复方法。方法：15例T3、T4型声门癌，行喉扩大或喉次全切除术，采用局部矩形颈部皮瓣及会厌下拉修复喉缺损，总结了术后功能恢复情况。结果：术后拔管率86．7％，全部恢复了吞咽功能，3年生存率74％（11／15）。结论：矩形颈部皮瓣加会厌下拉修复喉扩大或喉次全切除术后喉缺损是一种较好的方法。
OBJECTIVE: To study the repair method of laryngeal cavity after laryngeal enlargement or subtotal laryngectomy. Methods: Totally 15 patients with T3 and T4 glottic cancer underwent laryngeal enlargement or subtotal laryngectomy. The local rectangular neck flap and epiglottis were used to repair the laryngeal defects. The functional recovery was summarized. Results: The rate of extubation after operation was 86.7%, all of them recovered swallowing function, and the 3-year survival rate was 74% (11/15). CONCLUSION: Rectangular neck flap combined with epiglottis pull repair laryngeal enlargement or laryngectomy after laryngectomy is a good method.