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目的 :探讨单蒂胸骨舌骨肌肌筋膜瓣在喉部分切除声带重建术的应用价值。方法 :对 2 0例喉癌患者进行喉部分切除 ,并以单蒂胸骨舌骨肌肌筋膜瓣重建声带。结果 :2 0例术后 10～ 14天全部拔除鼻饲管 ,恢复正常饮食 ,无呛咳 ;术后 12～ 2 0天拔除气管套管 ,恢复语言交流 ,无拔管困难 ,拔管率 10 0 %。无发音失败。结论 :单蒂胸骨舌骨肌肌筋膜瓣是喉部分切除声带重建的理想的方法
Objective: To investigate the value of single pedicle sternohyoid myofascial flap in the reconstruction of laryngectomy. Methods: Twenty cases of laryngeal cancer were treated by laryngectomy and the vocal cords were reconstructed with monosial sternohyoid myofascial fascia flap. Results: 20 to 10 days after operation, the nasogastric tube was completely removed and returned to normal diet without choking. The tracheal tube was removed 12 to 20 days after operation and the language exchange was resumed without extubation difficulty. The extubation rate was 10 0 %. No pronunciation failed. Conclusion: Single pedicle sternohyoid myofascial flap is an ideal method for reconstruction of larynx with vocal fold