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目的 :探讨应用梨状窝粘膜修复喉部分切除术后粘膜缺损及恢复喉功能的效果。方法 :对 198例患者施行此术式 ,其中喉水平部分切除术 87例、喉垂直部分或扩大喉垂直部分切除术 6 5例、喉水平加垂直部分切除术 4 6例。同时进行随访观察。结果 :喉水平部分切除术者拔管率为 10 0 % ;术后发音、呼吸、吞咽功能恢复好 ;5年生存率为 84 .7%。喉垂直部分或扩大喉垂直部分切除术拔管率为 87.7% ;5年生存率 86 .2 % ;术后吞咽、呼吸功能恢复好 ,但有声音嘶哑。喉水平加垂直部分切除术后初期进食呛咳较重 ,训练适应时间较长 ,拔管率为82 .6 % ;5年生存率为 78.3% ;术后声音嘶哑 ,部分患者喉狭窄导致拔管困难。结论 :本方法操作简单 ,取材方便 ,手术时间较短 ,成活率高 ,术后喉功能保留好 ,患者的 5年生存率高。
Objective: To investigate the application of pear-shaped mucosa to repair mucosal defects and restore laryngeal function after partial laryngectomy. Methods: A total of 198 patients underwent surgical resection, including 87 cases of partial laryngectomy, 55 cases of vertical laryngectomy or partial laryngectomy, and 46 cases of laryngeal and vertical partial laryngectomy. At the same time follow-up observation. Results: The extubation rate of partial laryngectomy was 100%. The postoperative vocalization, respiration and swallowing function recovered well. The 5-year survival rate was 84.7%. Laryngeal vertical part of the laryngectomy or laryngectomy extension rate of 87.7%; 5-year survival rate of 86.2%; postoperative swallowing, respiratory function recovery is good, but a hoarse voice. Throat level and vertical partial resection of early eating cough heavier, training to adapt to a longer time, extubation rate was 82.6%; 5-year survival rate was 78.3%; postoperative hoarseness, some patients lead to laryngeal stenosis difficult. Conclusion: The method is easy to operate, easy to draw, short operative time, high survival rate, good postoperative laryngeal function, and high 5-year survival rate.