70例喉部分切除患者应用颈部带蒂皮瓣重建喉腔,并经过3年以上的随访观察,67例术后半年内拔管,3例术后未能拔管。喉腔内皮瓣粘膜化过程为3～4年。介绍了颈部单向或双向带蒂皮瓣的制作方法,对制作中的注意事项,皮瓣的转归及与呼吸,发音之间的关系作了讨论。认为利用颈部带蒂皮瓣进行喉结构重建,既保证了皮瓣成活,又能改善术后的发音状况和正常的呼吸功能。 Thirty patients with partial laryngectomy were treated with cervical pedicle flap reconstruction throat, and after 3 years of follow-up observation, 67 patients were extubated within six months after operation, and three patients failed to extubation after operation. Throat mucosal process of flap for 3 to 4 years. The method of making one - way or two - way pedicled skin flap was introduced. The precautions in making, the prognosis of flap and the relationship between respiration and pronunciation were discussed. That the use of the neck pedicle flap reconstruction of the throat, not only ensure the survival of the flap, but also improve postoperative pronunciation and normal respiratory function.