目的 :探讨喉部分切除术治疗声门型、声门上型喉癌的远期疗效和功能恢复。方法 :对 1978年 7月～1998年 8月间手术的 70例临床资料进行总结和随访。其中声门型喉癌 6 0例、声门上型喉癌 10例 ;施行喉裂开声带切除术 2 2例 ,垂直半喉切除术 2 2例 ,Majer- Piquet手术 17例 ,水平半喉切除术 7例 ,Arslan手术 2例。结果 :1、3及 5年生存率分别为 98.5 3%、87.0 4%和 78.2 6 %。拔管率为 10 0 %。全部病例恢复经口进食 ,一经拔管均能发音。并发症发生率和术后复发率各为 15 .71%和 13.0 4%。结论 :喉部分切除术是功能保全性喉部恶性肿瘤根治的有效术式。它在切除肿瘤、延长生命的同时可以较好地保留喉的生理功能 ,提高患者术后的生活质量 Objective: To investigate the long-term efficacy and functional recovery of partial laryngectomy for the treatment of glottis and supraglottic laryngeal cancer. Methods: From July 1978 to August 1998, 70 cases of clinical data were summarized and followed up. Including 60 cases of glottic laryngeal carcinoma and 10 cases of supraglottic laryngeal carcinoma. Twenty-two patients underwent laryngectomy with vocal cord resection, twenty-two cases with vertical hemilaryngectomy, 17 with Majer-Piquet operation, Surgery in 7 cases, Arslan surgery in 2 cases. Results: The 1, 3 and 5-year survival rates were 98.5 3%, 87.0 4% and 78.2 6%, respectively. Extubation rate of 10 0%. All cases of oral recuperation, can be pronounced after extubation. Complications and postoperative recurrence rates were 15.71% and 13.0%. Conclusions: Partial laryngectomy is an effective procedure for radical preserving laryngeal cancer. It is in the removal of the tumor, prolonging life while retaining the physiological function of the larynx better to improve postoperative quality of life of patients