目的　探讨喉咽癌外科治疗的手术方法选择。方法　对我院 1986～ 1996年间收治 5 4例喉咽癌的外科治疗效果进行回顾性分析。结果　 5年生存率 37.0 % (2 0 /5 4) ,其中游离空肠移植 37.5 % ,胃咽吻合为 37.5 % ,胸大肌肌皮瓣为30 % ,全喉切除或局部皮瓣修复为 35 % ,无手术死亡病例。并发症发生率为 35 .2 % (19/5 4) ,全部病人恢复吞咽功能。结论　对晚期喉咽癌选择游离空肠移植或胃咽吻合为好 Objective To investigate the surgical methods of surgical treatment of hypopharyngeal carcinoma. Methods The surgical treatment of 54 cases of hypopharyngeal carcinoma treated in our hospital from 1986 to 1996 was retrospectively analyzed. Results The 5-year survival rate was 37.0% (20/54), including 37.5% in free jejunum, 37.5% in gastric anastomosis, 30% in pectoralis major myocutaneous flap, 35% in total laryngectomy or partial flap repair, , No surgical deaths. The complication rate was 35.2% (19/5 4), and all the patients recovered swallowing function. Conclusions The treatment of advanced laryngeal and pharyngeal carcinoma with free jejunum transplantation or gastric anastomosis is better