【摘要】 目的探讨喉部分切除术后胸骨舌骨肌-骨膜瓣修复残喉的手术方法及其临床疗效。方法对1992年2月～2004年4月在我院行垂直喉部分切除联合胸骨舌骨肌-骨膜瓣修复术的26例声门型喉癌患者进行回顾性研究,分析其临床资料,总结临床疗效。结果本组病例1、3、5年生存率分别为100%(26/26)、96.15%(25/26)和88.0%(22/25);拔管率为100%。全部病例均经口正常饮食;尽管存在不同程度声嘶,但发音功能恢复,可以进行日常生活性交流。病变复发率为7.69%(2/26)。结论垂直喉部分切除术后应用带蒂胸骨舌骨肌-骨膜瓣修复残喉,简便易行,能够较好地保留喉的生理功能。更多还原

【Abstract】 Objective To investigate the operating procedures of laryngeal reconstruction with sterno- hyoid muscle-periosteum flap following partial laryngectomy and to observe the clinical therapeutic effects of this surgery on the cases received this kind of therapy.Methods A retrospective study was carried out among 26 cases with glottic carcinoma treated by vertical partial laryngectomy followed by laryngeal reconstruction with sternohyoid muscle-periosteum flap from Feb.1992 to Apr.2004 in our Hospital.Their clinical data were carefully analyzed to sum up the long-term outcome of this therapy on these cases and the clinical experience with this surgery.Results The survival rates of 1-,3-and 5-year were 100% (26/26),96.15% (25/26) and 88.0% (22/25) respectively,with a detubation rate of 100% for these patients.All these patients could take in food via normal mouth way and recovered vocal function to communicate with others in daily life tol- lowing the surgery,though with various degrees of hoarseness.By the end of following up period,only found with a reoccurring rate of 7.69% (2/26) was the lesion for this group of cases.Conclusions The procedures of laryngeal reconstruction with sternohyoid muscle-periosteum flap following vertical partial laryngectomy are simple in operation and the laryngeal function can be reserved much better following this therapy for those cas- es with glottie carcinoma.更多还原