【摘要】 为完成各型喉癌术后的修复，尤其晚期喉癌病变的修复，对102例各型喉癌及6例梨状南内侧壁癌行喉部分、扩大喉部分、3／4喉、次全喉切除，应用双侧和单侧双蒂双肌瓣行喉功能重建，获得满意效果。术后7～11天拔除胃管，气管套管拔除率为66．7％，5年生存率为76.5％，复发率为13．9％。双蒂双肌瓣的应用，使原来拟行全喉切除的患者，可以行喉部分切除，扩大了喉部分切除的适应证，提高了生存质量及生存率，并发症少。更多还原

【Abstract】 The method of reconstruction of laryngeal function by bi-pedical and bi-musc1e flap(DP-DMF) was presented. The DP-DMF was obtained from sternohyoid muscle, sternothyroid mus-cle and thyrohyoid muscle. It had enough length, width and plasticity,applicab1e to all patients withTs and T. laryngeal carcinoma. Up to now, 102 patients were treated by expanded horizontal hemila-ryngectomy and repaired with unilateral or bilateral DP-DMF. After operation , the swallow function returned to normal in 7 to 11 days. The tracheal tube extraction rate was 66. 7% (72/108). The 5-year survival rate was 76. 5 % (62/81 ), and recurrence rate was 13. 9 % (15/108). With the applica-tion of DP-DMF, the Patients who might have been treated formerly by total laryngectomy cou1d be treated by partial laryngectomy. This method expanded the indication of partial laryngectomy, im-proved the life quality and survival rate.更多还原