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目的探讨甲状软骨外膜与胸骨舌骨肌用于声门型喉癌喉部分切除喉功能重建的疗效及可行性。方法回顾分析38例声门型喉癌喉部分切除术应用甲状软骨外膜和胸骨舌骨肌进行喉功能重建的临床资料。结果 38例修复组织全部成活,喉腔光滑,拔管率97.4%,均恢复发音、吞咽功能,无并发症发生,5年生存率86.8%。结论声门型喉癌喉部分切除术对于至少保留一侧2/3以上甲状软骨者应用甲状软骨膜和胸骨舌骨肌进行喉功能重建损伤小、效果理想,具有可行性。
Objective To investigate the efficacy and feasibility of using thyroid cartilage adductor sternum and sternohyoid muscle for reconstruction of laryngectomy of glenoid laryngeal carcinoma. Methods The clinical data of 38 patients with glottic laryngeal carcinoma undergoing laryngectomy using thyroid cartilage adductorum and sternohyoid muscle were retrospectively analyzed. Results All the 38 cases survived, the laryngeal cavity was smooth and the rate of extubation was 97.4%. All of them recovered the pronunciation and swallowing function without complication and the 5-year survival rate was 86.8%. Conclusions The laryngectomy for glottic laryngeal carcinoma is feasible and effective for the reconstruction of throat reconstructed thyroid cartilage and sternohyoid muscle with less than 2/3 of thyroid cartilage.