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为探讨提高手术治疗晚期声门上癌疗效的方法,报告对8例声门上癌、贯声门癌颈淋巴结转移病例,取宽蒂矩形切口行全喉、次全喉颈联合根治术,3例行喉功能重建。全部病例元并发症出现,随访5年,除1例死于颈淋巴结转移及肺转移,其余均健在,并仍在继续随访之中。认为该术式术野宽阔,有利于肿块的完整切除,同时更利于颈、喉及气管旁等区域的淋巴结清扫。
In order to explore ways to improve the efficacy of surgical treatment of advanced supraglottic cancer, reports of 8 cases of supraglottic cancer, metastatic cervical lymph node metastasis cases, wide cut rectangular incision line total throat, subtotal throat combined radical mastectomy, 3 Routine thoracic function reconstruction. All cases of complications occurred, followed up for 5 years, except one case died of cervical lymph node metastasis and lung metastasis, the rest are alive, and are still under follow-up. The surgical field is broad, which is conducive to the complete removal of lumps, and more conducive to the neck, throat and trachea and other areas of lymph node dissection.