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目的 彻底切除中早期声门癌,同时恢复喉解剖结构及生理功能,提高生存及生活质量。方法 切除肿瘤,同时保留甲状软骨支架缘,并利用胸骨舌骨肌束代替切除声带,加之颈前诸带状肌修复喉腔。结果 27例,术后随访2年27例,5年以上14例,无失访,均无肿瘤复发和远近转移,生活质量较高。结论 该术式适应症广、损伤小、操作简便、效果满意、易于推广。
Objective To completely remove the middle and early stage of glottic cancer, at the same time to restore laryngeal anatomy and physiological function, improve survival and quality of life. Methods Excision of the tumor, while retaining the thyroid cartilage stent edge, and the use of the sternohyoid muscle bundle instead of removing the vocal cord, combined with the neck before the repair of the laryngeal muscles. Results 27 cases were followed up for 2 years, 27 cases were followed up for more than 5 years. There were no recurrences and distant metastases with no follow-up, and the quality of life was higher. Conclusion The surgical indications wide, small damage, easy to operate, the effect is satisfactory, easy to promote.