Wu N, Liu J, Kang X
Shanxi Provincial Tumor Hospital, Taiyuan.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1996;31(3):178-80.
The method of reconstruction of laryngeal function by bi-pedical and bi-muscle flap (DP-DMF) was presented. The DP-DMF was obtained from sternohyoid muscle, sternothyroid muscle and thyrohyoid muscle. It had enough length, width and plasticity, applicable to all patients with T3 and T4 laryngeal carcinoma. Up to now, 102 patients were treated by expanded horizontal hemilaryngectomy and repaired with unilateral or bilateral DP-DMF. After operation, the swallow function returned to normal in 7 to 11 days. The tracheal tube extraction rate was 66.7% (72/108). The 5-year survival rate was 76.5% (62/81), and recurrence rate was 13.9% (15/108). With the application of DP-DMF, the patients who might have been treated formerly by total laryngectomy could be treated by partial laryngectomy. This method expanded the indication of partial laryngectomy, improved the life quality and survival rate.
介绍了双蒂双肌瓣（DP-DMF）重建喉功能的方法。DP-DMF取自胸骨舌骨肌、胸骨甲状肌和甲状舌骨肌。它具有足够的长度、宽度和可塑性，适用于所有T3和T4期喉癌患者。到目前为止，102例患者接受了扩大水平半喉切除术，并采用单侧或双侧DP-DMF修复。术后7至11天吞咽功能恢复正常。气管套管拔除率为66.7%（72/108）。5年生存率为76.5%（62/81），复发率为13.9%（15/108）。随着DP-DMF的应用，以前可能需要行全喉切除术的患者现在可以行部分喉切除术。该方法扩大了部分喉切除术的适应证，提高了生活质量和生存率。
