分析1985～1990年间行全喉切除术的83例病人,男79例,女4例,年龄36～80岁,平均年龄59.7岁。肿瘤原发灶分别位于下咽部37例,喉部33例,喉边缘13例。83例中,2例术后死亡。对81例术后语言康复情况进行前瞻性研究。语言康复方式分为食道发音、气管食管发音(初期气管食管穿刺TEP_1、二次气管食管穿刺TEP_2和肌粘膜分路)及电子喉,后者不作为语言康复的最初手段。其中,食道发音19 Analysis of 83 cases of total laryngectomy between 1985 and 1990, 79 males and 4 females, aged 36 to 80 years, mean age 59.7 years. Tumor in 37 cases were located hypopharynx, throat in 33 cases, throat edge in 13 cases. Of 83 patients, 2 died after surgery. 81 cases of postoperative language rehabilitation conducted prospective study. Language rehabilitation methods are divided into esophageal voice, tracheoesophageal pronunciation (early tracheal esophageal puncture TEP_1, secondary tracheal esophageal puncture TEP_2 and mucosal shunt) and electronic larynx, the latter not as the initial means of language rehabilitation. Among them, the esophagus pronunciation 19