Ｔ３、Ｔ４声门癌常规治疗为喉全切除术，使病人丧失喉功能。为保证在根治肿瘤的前提下恢复喉功能，对８７例晚期（Ｔ３、Ｔ４）声门癌分别行扩大垂直喉切除和次全喉切除术，主要应用双蒂转门肌皮瓣等进行喉腔缺损重建。３年及５年生存率分别为８２．９％及７６．８％。气管套管拔出率为８５．１％，语音近乎正常者８７％，全部恢复经口进食。晚期声门癌选择性地施行功能保全性喉切除术是可行的 T3, T4 glottic cancer conventional treatment for laryngectomy, the patient loss of laryngeal function. In order to ensure the restoration of laryngeal function under the condition of radical tumor, 87 patients with advanced stage (T3, T4) glottic cancer were treated with vertical laryngectomy and subtotal laryngectomy, respectively. Defect reconstruction. The 3-year and 5-year survival rates were 82.9% and 76.8% respectively. Tracheal tube pull-out rate of 85.1%, almost normal voice 87%, all restored oral intake. Late glottic cancer selectively administered functional preservation laryngectomy is feasible