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目的 :于次全喉切除术后重建喉发声功能。方法 :7例喉癌病变范围 T3 N0 M0 行次全喉切除术 ,术中保留健侧的披裂软骨及杓间区粘膜 ,用披裂软骨与下咽粘膜制作具有括约功能的喉发声管。结果 :患者术后发声功能良好 ,无误吸。随访 2～ 5年 ,死亡 2例 ,健在 5例。结论 :该术式可保存部分喉功能。
Objective: Reconstruction of laryngeal vocal function after subtotal laryngectomy. Methods: Seven cases of laryngeal cancer with T3N0 M0 subtotal subtotal laryngectomy were performed. The pterygium and intertrengio mucosa of the contralateral laryngeal mucosa were preserved. The laryngeal mucosa with contracting function was made by using the plicated cartilage and pharyngeal mucosa. Results: The patient’s vocal function is good, no mistaken suction. During 2 to 5 years of follow-up, 2 died and 5 were alive. Conclusion: This procedure can save part of the laryngeal function.