Guo Z, Fu X, Wang J
ENT Department, Shenyang Hospital, PLA Air Force.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1994;29(2):107-9.
At present, the wound caused by partial laryngectomy are repaired by using many kinds of tissues in order to avoid infection, granuloma and laryngeal stenosis. It is unclear whether the traumata has to be repaired by transplant tissues or non-repaired traumata will lead to laryngeal dysfunction. This article analyzed 162 patients who received partial laryngectomy from April 1980 to March 1992. These patients had been divided into two groups: repaired group (78 cases) and non-repaired group (84 cases). Repair material used included sternohyoideus fascia (57 cases), thyro-hyoideus fascia (9 cases), throat musculus flap (6 cases), stemocleido-mastoideus fascia (3 cases) and throat flap (3 cases). The result indicated that there were no significant differences in respiration swallow recovery time and so on. So we concluded that non-repaired group has similar curative effect to repaired group and repairing the traumata (especially minor traumata) with the fascia around the traumata is an effective method.
目前，为避免感染、肉芽肿和喉狭窄，部分喉切除术造成的创口需采用多种组织进行修复。尚不清楚创口是否必须通过移植组织修复，还是未修复的创口会导致喉功能障碍。本文分析了1980年4月至1992年3月期间接受部分喉切除术的162例患者。这些患者被分为两组：修复组（78例）和未修复组（84例）。使用的修复材料包括胸骨舌骨肌筋膜（57例）、甲状舌骨肌筋膜（9例）、喉肌瓣（6例）、胸锁乳突肌筋膜（3例）和喉瓣（3例）。结果表明，呼吸吞咽恢复时间等方面无显著差异。因此我们得出结论，未修复组与修复组疗效相似，用创口周围筋膜修复创口（尤其是轻微创口）是一种有效的方法。
