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目的观察在喉癌喉修复重建中应用健侧胸舌骨肌瓣的临床效果。方法对行喉部分切除加修复手术的56例喉癌患者的临床资料进行回顾性分析。结果术后2~3年喉癌复发率为32.14%,2次手术后再次复发率为10.71%,术后3年生存率为92.86%。行垂直喉部分切除术者,术后4~5d进软食不会发生呛咳;行扩大垂直喉部分切除术者,术后7~8d经口进食,部分患者发生呛咳。患者自觉发声满意率为96.43%。结论在喉修复重建中采用健侧胸舌骨肌瓣进行缺损修复及声带重建的临床效果显著,且操作简单、创伤小、取材方便。
Objective To observe the clinical effect of the application of the contralateral thoraco-hyoid muscle flap in laryngeal laryngeal reconstruction. Methods The clinical data of 56 patients with laryngeal carcinoma underwent partial laryngectomy plus repair surgery were analyzed retrospectively. Results The recurrence rate of laryngeal cancer was 32.14% 2 to 3 years after operation. The recurrence rate was 10.71% after 2 operations and 92.86% after 3 years. Line vertical throat partial resection, 4 to 5d after the soft diet does not occur cough; line to expand the vertical laryngectomy, 7 ~ 8d after oral intake, some patients with cough. Patients consciously audible satisfaction rate of 96.43%. Conclusion The clinical effect of repairing defect and reconstruction of vocal cord with thoraco - parietal muscle flap in laryngeal reconstruction is obvious. The operation is simple, the trauma is small and the material is easy to draw.