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报告对因侵犯范围较广而失去部分喉切除机会的晚期喉癌患者 ,行次全喉或全喉切除粘膜管成形发声功能重建术。 13例中 10例行近全喉切除 ,仅仅保留了残余披裂 ,摘除杓状软骨后 ,利用残余披裂粘膜和延续到气管的一条粘膜瓣缝合成一粘膜管而重建发声功能 ;3例行全喉切除 ,用其环后粘膜以及临近的粘膜缝合成一粘膜管与气管相延续。 13例均取得了良好的发声效果而无误咽。认为该手术是晚期喉癌患者在喉切除后 ,采用自体材料施行 1期重建发声和吞咽功能的一种较理想的治疗方法
Report of extensive laryngectomy due to a wide range of violations and lost some of the laryngeal patients with advanced laryngeal or total laryngectomy mucosal vocal reconstruction. Thirteen of 10 cases underwent near total laryngectomy, only retained the residual fissure, the removal of arytenoid cartilage, the use of the residual fissure mucosa and mucosal flap continued to the trachea to form a mucosal tube and reconstruction of vocal function; 3 cases of total laryngectomy , With the ring after the mucosa and adjacent mucosal suture into a mucosal tube and tracheal extension. 13 cases have achieved good sound effects without error swallow. That the surgery is laryngectomy in patients with advanced laryngectomy, the use of self-material to perform a phase reconstruction of vocalization and swallowing function of a more ideal treatment