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为探讨联合应用颈部肌筋膜瓣行晚期喉癌术后修复的可行性。自1991年2月至1996年12月我们联合应用颈部肌筋膜及胸舌骨肌肌筋膜瓣行晚期喉癌术后修复,治疗22例,术后全部病例均恢复经口进食,并获得不同程度的会话能力,术后3月统计20例拔除气管套管,恢复经口鼻呼吸功能,拔管率90.9%(20/22),3年生存率72.2%(13/18),5年生存率63.6%(7/11)。认为联合应用颈部肌筋膜及胸舌骨肌肌筋膜瓣行晚期喉癌术后修复方法可行,有利于保留喉功能。
To explore the feasibility of combined application of neck myofascial flap in the treatment of postoperative laryngeal cancer. From February 1991 to December 1996, we applied 22 cases of advanced laryngeal carcinoma after neck myofascial fascia and thoracic musculocutaneous fascia flap to treat 22 cases. After the operation, all cases recovered oral intake and (P0.05) .There were different degrees of conversational ability in the follow-up period. Twenty tracheal cannulas were withdrawn in March after operation to recover the respiratory function of oral and nasal passages. The extubation rate was 90.9% (20/22) and the 3-year survival rate was 72.2% 18), 5-year survival rate was 63.6% (7/11). That joint application of cervical myofascial and fascia myofascial myofascial flap late laryngeal cancer after the repair method is feasible, is conducive to preserving laryngeal function.