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目的会厌癌局限于会厌或侵及杓会厌襞者，可采用声门上喉部分切除术治疗。手术中切除甲状软骨上１／３、会厌、会厌前间隙、室带的前部，如切除一侧杓状软骨，也可基本上恢复喉的全部功能。方法采用声门上喉切除术治疗４０例会厌癌患者，并进行了病例整理与随访。根据ＵＩＣＣ１９８７年标准，Ｔ１１７例，Ｔ２１７例，Ｔ４６例。结果１２例行单侧颈淋巴结清除术，１例行双侧颈淋巴结清除术，术后淋巴结转移７例，占５８％。围手术期无死亡，有８例患者早期进食有轻微呛咳，所有患者均拔除套管。术后行放、化疗２９例，占７３％，３年生存率为７４％。结论选择Ｔ分级适当的患者行声门上喉切除术可获得满意的喉功能及预后
The purpose of epiglottic cancer confined to the epiglottis or invasion and crape mypeak who, supraglottic partial excision can be used. Surgical removal of thyroid cartilage on the 1/3, epiglottis, epiglottis space, the front of the ventricular band, such as removal of arytenoid cartilage, but also can basically restore the full function of the larynx. Methods Forty patients with epiglottis were treated with supraglottic excision. Cases were followed up. According to the UICC1987 standards, T117 cases, T217 cases, T46 cases. Results Twelve patients underwent unilateral cervical lymph node dissection. One patient underwent bilateral cervical lymph node dissection and 7 patients had postoperative lymph node metastasis, accounting for 58%. Perioperative deaths, 8 patients with early coughing cough, all patients were removed casing. Postoperative radiotherapy and chemotherapy in 29 cases, accounting for 73%, 3-year survival rate was 74%. Conclusions Patients with appropriate T-rating may have satisfactory laryngeal function and prognosis undergoing supraglottic laryngectomy