室带-会厌黏膜瓣移位术在声门癌手术治疗中的应用
[Application of the displacement of the ventricular bands-epiglottis mucosal flap in the surgical management of glottis carcinoma].
作者信息
Chen Lili, Qin Zhaojun, Dai Changwen
机构信息
Department of Otolaryngology, Suzhou First People's Hospital, SuZhou, 215006, China.
出版信息
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2009 Sep;23(18):826-7.
OBJECTIVE
To investigate the plastic method of glottis carcinoma in surgery.
METHOD
Retrospective analyzed 29 patients with T2, T3 glottis carcinoma who admitted in our department From 1996 to 2004. All of them were treated with the displacement of ventricular bands-epiglottis mucosal flap in the surgical management of glottis carcinoma. The tumour was primarily from vocal cords, and not exceeded 2 cm.
RESULT
All cases were successfully renovated laryngeal cavity with the displacement of ventricular bands-epiglottis mucosal flap and followed up for 5 years after operation. Three years survival rate was 86.2%, 5 years survival rate was 78.9%, and tube drawing rate was 100%.
CONCLUSION
With this method, surgery would be simplified and the patients would keep the voiced function and swallowing function.
目的
探讨声门癌手术中的整复方法。
方法
回顾性分析1996年至2004年我科收治的29例T2、T3声门癌患者。所有患者均采用室带-会厌黏膜瓣移位术治疗声门癌。肿瘤原发于声带，直径不超过2cm。
结果
所有病例均采用室带-会厌黏膜瓣移位术成功修复喉腔，术后随访5年。3年生存率为86.2%，5年生存率为78.9%，拔管率为100%。
结论
采用该方法可简化手术，患者可保留发声功能和吞咽功能。
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