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目的 探讨喉癌手术的疗效 ,提高喉癌病人的生存质量。方法 5 3例男性声门型鳞状细胞癌采用垂直前侧位喉大部切除颈前皮瓣和肌筋膜双蒂整复术。术后辅以放疗。结果 5 3例病人术后吞咽及发音功能基本恢复 ,拔管率 92 .5 % ,3年生存率为 82 .5 % ,5年生存率为 76.8%。结论 对一侧声带癌向前至声带前联合并累及对侧声带前 1 3的病人 ,采用垂直前侧位喉大部切除颈前皮瓣和肌筋膜瓣双蒂整复是一种有效的术式 ,在切除肿瘤的同时又能保留喉的部分功能 ,有良好的应用前景。
Objective To investigate the curative effect of laryngeal cancer surgery and improve the quality of life of laryngeal cancer patients. Methods Fifty-three male patients with glottis-type squamous cell carcinoma underwent vertical anterior lateral throat resection of the anterior cervical flap and myofascial double pedicle restoration. Postoperative radiotherapy. Results After operation, the swallowing and phonation of 53 patients recovered basically. The rate of extubation was 92.5%, the 3-year survival rate was 82.5%, and the 5-year survival rate was 76.8%. Conclusion One side of the front of the vocal cord cancer to the vocal cords before the joint and involving the contralateral vocal cords before the 13 patients, the use of the vertical anterior lateral throat resection of the anterior cervical flap and myofascial flap double pedicle repair is an effective Surgery, while removing the tumor at the same time retain some of the functions of the throat, has a good prospect.