目的探讨声门型喉癌喉中段切除及残喉的修复方法。方法总结12例声门型喉癌(T2N0M0-N1M0)喉中段切除,利用局部组织修复残喉,重建喉功能。全部病例均未利用皮瓣或其它肌瓣等组织重建声门。结果12例病经1~7年随访无复发,拔管率为100%,全部病例恢复经口进食,拔管后均能发音,无术后并发症出现。结论喉中段切除术并利用局部组织修复残喉,术后无严重误咽,发音效果良好。 Objective To study the method of removing the larynx in the laryngeal glottic larynx and the method of repairing the residual larynx. Methods 12 cases of glottic laryngeal carcinoma (T2N0M0-N1M0) were resected in the middle of the larynx. The local tissues were used to repair the residual larynx and reconstruct the laryngeal function. All cases did not use flaps or other muscle flap tissue reconstruction glottis. Results No recurrence was found in 12 cases during 1 to 7 years of follow-up. The rate of extubation was 100%. All patients recovered oral intake and could be pronounced after extubation. No postoperative complications occurred. Conclusion The middle laryngectomy and the use of local tissue repair residual throat, no serious postoperative pharyngeal pharynx, the pronunciation effect is good.