全喉切除己为公认的治疗喉癌的有效方法之一,但因术后失去发声功能,使患者产生很大顾虑。有些患者犹豫拖延,甚或拒绝手术,延误病情。因此,解决术后发声问题,成为喉癌手术治疗的一项重要研究课题。多年来,学者为此设计或使用许多方法,都各有优缺点。能保留发声功能的半喉切除,减少了全喉切除率,但手术适应症较狭窄,一般对病变超过半喉者,多采取全喉切除。晚近兴起的次全喉切除,挽救了一批原需全喉切除的喉功能。笔者为一喉癌病变超过半喉患者行次全喉切除,术后放疗,取得满意效果。兹报告如下: 患者杨某,男,53岁,工人,因发声嘶 Total laryngectomy has been recognized as one of the effective methods for the treatment of laryngeal cancer, but patients have great concerns due to loss of vocal function after surgery. Some patients hesitate to delay or even refuse surgery, delaying the disease. Therefore, to solve the problem of postoperative vocalization has become an important research topic for surgical treatment of laryngeal cancer. Over the years, scholars have designed or used many methods for this purpose, each with their own advantages and disadvantages. Half-throat resection, which retains vocal function, reduces total laryngectomy. However, surgical indications are relatively narrow. Generally, the total laryngectomy is used for patients whose lesions exceed half-throat. Sub-total laryngectomy took place recently, saving a group of laryngeal functions that required full laryngectomy. The authors underwent subtotal laryngectomy for patients with a laryngeal cancer with more than half of the larynx. Postoperative radiotherapy achieved satisfactory results. The report is as follows: Patient Yang, male, 53 years old, worker, due to his voice