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全喉切除术后能学会食管发音者只是少数,多数人将遗留严重的功能障碍。保守手术只切去喉的一部份,以保存其功能避免气管造口,基本术式即:(1)声门上部份喉切除(用于声门上肿瘤),(2)垂直半喉切除(用于声门肿瘤)。前者切除声门水平以上的全部喉组织,包括假声带、杓会厌皱襞、会厌前间隙、舌骨和甲状软骨上部。后者切除一侧声带,包括杓状软骨、假声带和邻近的甲状软骨。作者认为喉癌的治疗应以根除病变为首要目标,由于治愈的最好机会在于首次手术,因此范围大的肿瘤仍应作全喉切除,保守手术只限于病变较限局者。选择术式前,须
After total laryngectomy can learn esophageal pronunciation is only a minority, most people will be left with serious dysfunction. Conservative surgery cuts only a portion of the larynx to preserve its function to avoid tracheostoma. The basic procedures are: (1) supraglottic laryngectomy (for supraglottic tumors), (2) Excision (for glottis tumor). The former excises all laryngeal tissue above the glottis level, including the false vocal cords, the scapulae, the anterior epiglottis, the hyoid bone and the upper part of the thyroid cartilage. The latter resection of the vocal cords, including arytenoid cartilage, false vocal cord and adjacent thyroid cartilage. The authors believe that the treatment of laryngeal cancer should be the eradication of the disease as the primary goal, because the best chance of cure is the first surgery, so a large range of tumors should be made for total laryngectomy, conservative surgery is limited to those with lesion. Select surgery before, to be