全喉切除术后气管食管分流术重建语音的回顾性分析
[Retrospective analysis of tracheoesophageal shunt for voice reconstruction after total laryngectomy].
作者信息
Wang Jianting, Zhao Changqing, Liu Xueren, Niu Yumei
机构信息
Department of Otorhinolaryngology, the Second Hospital, Shanxi Medical University, Taiyuan, 030001, China.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 May;19(9):403-4.
OBJECTIVE
To review the effect of tracheoesophageal shunt on voice reconstruction after total laryngectomy and prevention from deglutition disorders.
METHOD
Twenty-seven patients with laryngeal cancer were conducted an operation of tracheoesophageal shunt after total laryngectomy. The vertical voiced slit with a length of 1.0-1.5 cm was made between the posterior wall of trachea and frontal wall of esophagus, while the new epiglottis was made above tracheoesophageal shunt to prevent from deglutition disorders.
RESULT
In this series, 23 of 27 patients kept good voice function, the successful rate was 85.2%. 22 of 23 patients avoided deglutition disorders, but 1 of 23 failed to do so. The 3-year and 5-year survival rate were 66.7% (18/27) and 48.1% (13/27), respectively.
CONCLUSION
The operation of tracheoesophageal shunt is advantageous to restore the voice function and prevent deglutition disorders.
目的
回顾气管食管分流术对全喉切除术后语音重建及预防吞咽障碍的效果。
方法
27例喉癌患者在全喉切除术后行气管食管分流术。在气管后壁与食管前壁之间制作长1.0 - 1.5 cm的垂直发音裂隙，同时在气管食管分流术上方制作新的会厌以预防吞咽障碍。
结果
本系列中，27例患者中有23例保持良好的语音功能，成功率为85.2%。23例患者中有22例避免了吞咽障碍，但23例中有1例未能避免。3年和5年生存率分别为66.7%（18/27）和48.1%（13/27）。
结论
气管食管分流术有利于恢复语音功能并预防吞咽障碍。
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