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为了探讨颈阔肌肌筋膜瓣在喉重建术中的临床应用价值,观察了72例喉癌喉切除术后应用颈阔肌肌筋膜瓣修复缺损的临床效果。手术时根据癌肿的大小与部位行喉部分切除或喉次全切除术,沿颈浅筋膜层将颈阔肌连同其两面的筋膜与皮下组织分开,根据缺损的大小,剪切相应的单蒂颈阔肌肌筋膜瓣并转入术腔修补缺损。结果,经3年以上的随访,术后7～10天拔除胃管;气管套管拔除率91.7%(66/72);3年生存率为84.7%(61/72);复发率11.1%(8/72);发生喉瘘4例(5.6%),喉瘢痕狭窄2例(2.7%)。认为颈阔肌肌筋膜瓣是喉重建的良好修复材料。
In order to explore the clinical value of platysma myofascial flap in laryngeal reconstructive surgery, the clinical effect of platysma myofacial flap repair in 72 laryngectomy patients was observed. Surgery, according to the size and location of the tumor underwent partial throat excision or subtotal laryngectomy, along the neck superficial fascia layer of the platysma with both sides of the fascia and subcutaneous tissue, according to the size of the defect, cut the corresponding Single platysma myofascial flap and transferred to the surgical cavity to repair defects. The results showed that the gastric tube was removed 7 to 10 days after operation for more than 3 years. The removal rate of tracheal tube was 91.7% (66/72), the 3-year survival rate was 84.7% (61/72) and the recurrence rate was 11.1% There were 4 cases of laryngeal fistula (5.6%) and 2 cases of laryngeal scar stenosis (2.7%). Platysplasia myofascial flap is considered a good material for reconstructive laryngeal reconstruction.