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采用声门上喉次全切除术治疗声门上区癌１３例，梨状窝癌６例。１７例用蒂在下方的胸舌骨筋膜瓣修补喉腔及梨状窝，２例用带有舌骨块的筋膜瓣修补。根据ＵＩＣＣ１９８７年分期标准，声门上区癌Ｔ２Ｎ０Ｍ０３例，Ｔ２Ｎ１Ｍ０２例，Ｔ３Ｎ０Ｍ０３例，Ｔ３Ｎ１Ｍ０１例，Ｔ３Ｎ２Ｍ０１例，Ｔ４Ｎ０Ｍ０１例，Ｔ４Ｎ１Ｍ０２例；梨状窝内侧壁癌Ｔ２Ｎ１Ｍ０２例，Ｔ３Ｎ１Ｍ０２例，Ｔ４Ｎ０Ｍ０２例。１２例行单侧，１例行双侧选择性颈淋巴清扫术，病理检查报告８例有淋巴结转移，占６１．１％，围手术期无死亡。少数患者进食早期有呛咳，１３例拔除气管套管。除１例外术后均行根治性放疗。１例术后１．５年复发，行全喉切除后３年颈部复发死亡。１例失访，１例肺转移术后１．５年荷瘤存活。术后未放疗１例在术后１年颈部出现包块，喉内无复发，行化疗。提示声门上及一侧半喉或（及）梨状窝切除采用胸舌骨筋膜瓣成形术可获得满意的喉功能及预后。
Supraglottic subtotal hysterectomy for supraglottic carcinoma in 13 cases, 6 cases of pear-shaped nest cancer. Thoracic and popliteal fossa were repaired in 17 cases with thoracic fascia flap pedicled below, and 2 cases were repaired with fascia flap with hyoid bone. According to the UICC1987 year’s criteria, the supraglottic cancer T2N0M03 cases, T2N1M02 cases, T3N0M03 cases, T3N1M01 cases, T3N2M01 cases, T4N0M01 cases, T4N1M02 cases; pear-shaped wall of the inner wall cancer T2N1M02 cases, T3N1M02 cases, T4N0M02 cases. 12 cases of unilateral, 1 case of bilateral selective neck dissection, pathological examination of 8 cases of lymph node metastasis, accounting for 61.1%, no perioperative death. A small number of patients with early cough, 13 cases of removal of tracheal tube. All patients underwent radical radiotherapy except one. One patient had recurrence 1.5 years after operation and died of neck recurrence 3 years after total laryngectomy. One patient was lost to follow-up, and one patient survived 1.5 years after lung metastasis. One patient did not radiotherapy postoperative 1 year neck mass, laryngeal no recurrence, chemotherapy. Tip on the glottis and on one side of the half throat or (and) pear-shaped fossa resection using thoracic fascia flap angioplasty to obtain satisfactory laryngeal function and prognosis.