从 1 8 73年 Billroth完成首例全喉切除术以来 ,手术一直是治疗喉癌的主要手段〔1〕。近 3 0多年来 ,随着早期诊断技术的不断提高 ,功能性部分喉切除术的应用越来越广泛。其优点是切除肿瘤的同时尽可能地保存了喉的发音和呼吸等功能。但是 ,如何确定手术切除范围、避免肿瘤残留 Since Billroth completed the first total laryngectomy in 1873, surgery has been the primary treatment for laryngeal cancer [1]. In the recent 30 years, with the continuous improvement of early diagnosis techniques, functional partial laryngectomy is more and more widely used. Its advantage is to remove the tumor as much as possible while preserving the laryngeal sounds and breathing and other functions. However, how to determine the scope of surgical resection, to avoid tumor residues