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目的 :探讨环上喉次全切除喉重建术的治疗效果和喉功能重建效果。方法 :回顾性分析 4 1例接受该术式的T2 ～T4期喉鳞癌患者的临床资料。其中声门型 35例 ,声门上型 6例 ;行环舌会厌固定术 2 3例 ,环舌固定术 18例。结果 :3年生存率 83.3% (30 / 36 ) ,5年生存率 71.4 % (2 0 / 2 8) ;拔管率为 92 .7% (38/ 4 1)。 1例因误吸严重而行咽气管分离术 ,余 4 0例均恢复了正常吞咽。全部患者均能利用新喉发音。结论 :环上喉次全切除喉功能重建术既能彻底切除肿瘤 ,又能恢复喉的三大基本功能 ,是中、晚期喉癌治疗的有效方法之一。
Objective: To investigate the therapeutic effect and reconstruction of laryngeal function of subtotal laryngectomy with annular laryngectomy. Methods: The clinical data of 41 patients with T2 ~ T4 laryngeal squamous cell carcinoma who underwent this operation were retrospectively analyzed. Among them, 35 cases were glottic, 6 cases were supraglottic, 23 cases were epiglottis fixation, and 18 cases were ring fixation. Results: The 3-year survival rate was 83.3% (30/36) and the 5-year survival rate was 71.4% (20/28). The rate of extubation was 92.7% (38/4 1). 1 case of severe aspiration and pharyngeal tracheal separation, more than 40 cases were resumed normal swallowing. All patients can use the new laryngeal pronunciation. Conclusion: The subluxation throat subtotal laryngeal reconstruction can completely remove the tumor and restore the three basic functions of the larynx. It is one of the effective ways to treat laryngeal carcinoma in the middle and late stages.