Fu Y G, Sun D Z, Yang P Z, Chen Y L, Chen Z P, Yang Z K
Department of Otorhinolaryngology,Linyi People's Hospital,Linyi,276000,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2016 Aug 5;30(15):1226-1228. doi: 10.13201/j.issn.1001-1781.2016.15.012.
The aim of this study is to explore the experience and advantages of the application of full thicknes skin graft in glottic carcinoma.partial laryngectomy for glottic carcinoma.One hundred and forty-three patients with glottic cancer were treated with partial laryngectomy.Among those,78 cases were repaired with full-thickness skin graft and 65 cases were repaired with sternohyoid muscular fasciae.Compared the time of extubation and the formation of granulation in laryngeal cavity after operation between the two groups.In the group of full-thickness skin graft,the mean time of decannulation was 6.8 days,5 cases with growth of granulation after operation.In other group,the mean time of decannulation was 10.7 days,16 cases with growth of granulation after operation.The mean time of decannulation(=-4.739,<0.01) and the growth of granulation(χ²=9.379,<0.01) are significantly different between the two groups.No laryngostenosis was found in all patients.The application of full-thicknes skin graft in partial laryngectomy for glottic carcinoma.can shortthe time of extubation and reduce the formation of granulation.
本研究旨在探讨全厚皮片移植在声门癌喉部分切除术中的应用经验及优势。对143例声门癌患者行喉部分切除术，其中78例采用全厚皮片修复，65例采用胸骨舌骨肌筋膜修复。比较两组术后拔管时间及喉腔肉芽形成情况。全厚皮片组平均拔管时间为6.8天，术后5例出现肉芽生长；另一组平均拔管时间为10.7天，术后16例出现肉芽生长。两组拔管平均时间（t=-4.739，P<0.01）及肉芽生长情况（χ²=9.379，P<0.01）差异有统计学意义。所有患者均未发生喉狭窄。全厚皮片应用于声门癌喉部分切除术，可缩短拔管时间，减少肉芽形成。
