【摘要】 目的探讨喉癌T3病变保留喉功能的有效治疗方法.方法采用单侧双蒂接力肌骨膜瓣,对32例喉癌T3病变患者行扩大垂直喉部分切除术后喉腔结构Ⅰ期重建.结果术后随访1~3 a,患者发音良好,呼吸通畅,未见肿瘤复发.拔管率100%.结论表明喉癌T3病变患者行扩大垂直喉部分切除术,采用单侧双蒂接力肌骨膜瓣重建喉腔结构,既能有效切除肿瘤,又可获得较满意的发音呼吸功能,具有良好的临床应用前景.更多还原

【Abstract】 Objective To explore the effective method for preserving laryngeal function in the treatment of laryngeal cancer of T3 lesions. Methods Utilizing unilateral pedicled muscle-periosteal flap, 32 cases with laryngeal carcinoma of T3 lesions underwent extended vertical partial laryngectomy for laryngeal cavity structure after one-stage reconstruction. Results With 1-3 years postoperative follow-up, the patients had good pronunciation, unobstructed respiration and no tumor recurrence,with extubation rate of 100%. Conclusion It showed that treating patients with laryngeal carcinoma of T3 lesions with extended vertical partial laryngectomy using unilateral pedicled muscle-periosteal flap reconstruction for laryngeal cavity structure can remove tumor effectively and obtain the satisfactory respiratory pronunciation function. The method has a good clinical application prospect.更多还原