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目的 :探讨T3声门癌喉功能保留手术的方法和临床疗效。方法 :对 75例T3声门癌患者进行手术治疗 ,切除肿瘤后以会厌、双蒂接力肌甲状软骨膜瓣、颈阔肌皮瓣、胸骨舌骨肌筋膜瓣、颈阔肌筋膜瓣、甲状软骨膜瓣等修复组织缺损并重建喉功能。 结果 :全组病例 3年生存率83.2 % ,5年生存率 73.6 %。 6 2例患者于术后 2周～ 6个月拔除气管套管 ,拔管率为 82 .7%。结论 :T3声门癌在彻底切除肿瘤的前提下保留喉功能是可行的。熟练掌握多种修复方法 ,择优采用 ,是恢复良好的喉功能的重要保证
Objective: To explore the method and clinical efficacy of laryngeal function retention surgery in T3 glottic carcinoma. Methods: Seventy-five patients with T3 glottic cancer were treated by surgery. After the tumor was excised, the epiglottis, pedicled double-pedicled thyroid cartilage flap, platysma flap, sternohyoid myofascial flap, Thyroid perichondrial flap repairs tissue defects and reconstructs laryngeal function. Results: The 3-year survival rate was 83.2% and the 5-year survival rate was 73.6%. Sixty-two patients with tracheal cannula were removed at 2 weeks to 6 months after operation. The rate of extubation was 82.7%. Conclusions: It is feasible to preserve the laryngeal function in T3 glottic carcinoma under the premise of completely removing the tumor. Proficiency in a variety of repair methods, preferential use, is an important guarantee to restore good laryngeal function