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为了改善病人的生存质量，作者对４例晚期下咽癌（Ｔ３，Ｔ４）患者行近全喉下咽切除、食管内翻剥脱、咽胃吻合发音重建术。术后给予６０钴放射治疗。手术由气管切开、咽喉切除、胃的游离、食管剥脱并提胃到颈部、胃咽吻合，将术中保留的喉组织制成最大径１．０～１．２ｃｍ发音分路吻合于咽胃吻合的前部。术后随访２年以上，２年生存率７５％（３／４），发音功能好，无明显误吸。术式取材方便、手术简便、并发症少、成功率高。对于晚期下咽癌是一种可行的咽胃吻合发音重建方法。
In order to improve the patient’s quality of life, the authors performed near-total laryngectomy, endoscopic esophageal exfoliation, and pharyngeal anastomosis in 4 cases of advanced hypopharyngeal carcinoma (T3, T4). Postoperative 60 cobalt radiotherapy. Surgery by tracheotomy, laryngectomy, the stomach free, esophageal exfoliation and mention the stomach to the neck, stomach anastomosis, the laryngeal tissue retained within the surgery made the largest diameter 1.0 ~ 1.2cm pronunciation shunt anastomosis in the pharynx Stomach anastomosis front. After 2 years of follow-up, 2-year survival rate was 75% (3/4), pronunciation function is good, no obvious aspiration. Convenient surgical procedures, surgery is simple, less complications, high success rate. For advanced hypopharyngeal carcinoma is a viable pharyngeal anastomosis pronunciation reconstruction method.