目的 :探讨早期声门癌手术切除后的成形方法及治疗效果。方法 :1989至 1996年治疗声门癌 2 3例 ,T1a15例、T1b8例 ,均为N0 M0 ,T1b者术后配合放疗 4 0～ 4 8Gy。方法是切除声带肿物 ,剥离室带 ,纵行剖开 ,下移成形声带并消灭创面。结果 :随诊 5年以上 9例 ,3～ 5年 8例 ,1～ 3年 6例 ,其中 2例分别于术后 8个月和 1年局部复发行全喉切除术 ,至今患者生存。结论 :喉室是声门癌向室带浸润的屏障 ,喉室深 6～ 8mm ,纵行剖开室带 ,适于成形声带并消除创面 ,以室带成形声带不影响治疗效果 ,且发声功能好 ,3～ 5年的生存率高于放射治疗 Objective: To investigate the methods of shaping and treatment of early glottic cancer after surgical resection. METHODS: Twenty-three patients with glottic cancer were treated from 1989 to 1996. Fifteen cases of T1a and eight cases of T1b were treated with N0 M0 and T1b with radiotherapy of 40 to 48 Gy. The method is to remove the vocal cord tumor, stripping the ventricular band, longitudinal incision, down forming vocal cord and eliminate the wound. Results: Nine cases were followed up for more than 5 years, 8 cases were from 3 to 5 years and 6 cases were from 1 to 3 years. Two of them were locally underwent total laryngectomy at 8 months and 1 year after operation. Conclusion: The glenoid cavity is a barrier to infiltration of the glottic carcinoma into the ventricular zone. The depth of the throat is 6 ~ 8mm. The longitudinal incision of the ventricular band is suitable for shaping the vocal cord and eliminating the wound. The vocal cord is not affected by the vocal cord in the ventricular band, Well, 3 to 5 years survival rate is higher than radiotherapy