总结1998～2006年施行水平半喉切除术38例诊治体会,其中,男27例,女11例,年龄50～67岁,鳞状细胞癌占78.5%,肿瘤分期:Ⅰ期28例,Ⅱ期9例,Ⅲ期1例,患者全部随访,2,3,5年的生存率分别为100%、92.1%、85.7%。术后全部患者保存发音功能,误咽轻,气管套管拔管率71.4%,并对术后功能恢复、并发症等进行探讨。 Conclusions From 1998 to 2006, 38 cases were diagnosed and treated by horizontal hemilaryctomy, including 27 males and 11 females, aged from 50 to 67 years old, with squamous cell carcinoma accounting for 78.5%, tumor staging: stage Ⅰ 28 cases, stage Ⅱ 9 cases, and 1 case of stage Ⅲ. The patients were followed up for 2, 3, and 5 years respectively. The survival rates were 100%, 92.1% and 85.7% respectively. All patients with postoperative preservation of pronunciation, light swallow, tracheal tube extubation rate of 71.4%, and postoperative functional recovery, complications were discussed.