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环状软骨上部分喉切除术联合喉成形术的临床评估

[A clinical evaluation on supracricoid partial laryngectomy with laryngoplasty].

作者信息

Yu Feng, Dong Yuli, Han Yuefeng, Zhu Zhijiang, Shu Jihong, Wang Wenzhong, Jiang Chengyi

机构信息

Department of Otorhinolaryngology, Affiliated Hospital of Bengbu Medical University, Bengbu 233004, China.

出版信息

Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Dec;37(6):458-61.

PMID:12966810
Abstract

OBJECTIVE

To evaluate the results of supracricoid partial laryngectomy with laryngoplasty in treating laryngeal cancer and reconstructing its functions.

METHODS

One hundred and fifty-nine patients receiving subtotal laryngectomy from 1993 to 1999 were analysed. 4 kinds of operations were performed for them. 46 cases underwent supracricoid partial laryngectomy with the reconstruction of laryngeal function by pedicled flaps.

RESULTS

Among the 46 cases receiving supracricoid partiallaryngectomy with laryngoplasty, aspiration did not occur in 40 cases. The decannulation rate was 91.3%, 3, 5 year survival rates were 84.8%, 75%. 41 cases resumed enjoyed satisfactory phonation.

CONCLUSION

This form of laryngeal reconstruction in supraericoid partial laryngectomy with laryngoplasty is helpful to restore laryngeal function. It can prevent aspiration and improve the decannulation rate as well as the quality of life in partial laryngectomy patients.

摘要

目的

评估环状软骨上部分喉切除术联合喉成形术治疗喉癌及其功能重建的效果。

方法

分析1993年至1999年接受次全喉切除术的159例患者。为他们实施了4种手术。46例行环状软骨上部分喉切除术并采用带蒂皮瓣重建喉功能。

结果

在46例行环状软骨上部分喉切除术联合喉成形术的患者中,40例未发生误吸。拔管率为91.3%,3年、5年生存率分别为84.8%、75%。41例恢复发声且效果满意。

结论

环状软骨上部分喉切除术联合喉成形术的这种喉重建方式有助于恢复喉功能。可防止误吸,提高拔管率以及改善部分喉切除患者的生活质量。

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[A clinical evaluation on supracricoid partial laryngectomy with laryngoplasty].环状软骨上部分喉切除术联合喉成形术的临床评估
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2002 Dec;37(6):458-61.
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[Supracricoid partial laryngectomy versus other traditional partial laryngectomy for selected laryngeal cancers].[环甲膜上部分喉切除术与其他传统部分喉切除术治疗特定喉癌的比较]
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