Jia S, Sun B, Shang L
Third Clinical College, Harbin Medical University.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1996;31(6):365-7.
From June 1981 to December 1992, 32 patients of glottic cancer with T3 category were treated by extended vertical partial laryngectomy, i.e. vertical laryngectomy plus the resection of the arytenoid and part of the cricoid plate. The laryngeal defect was reconstructed by an osteomuscular flap. The 3- and 5-year survival rates were 78.1% and 73.9% respectively. The decannulation rate was 81.3%. The voice was satisfactory in 84.3%. All patients resumed mouth-food-taking. The authors conclude that selective glottic cancer of T3 category treated with extended vertical partial laryngectomy, which preserves the functions of the larynx and improves the quality of the life, is feasible and acceptable.
1981年6月至1992年12月,对32例T3期声门癌患者施行扩大垂直部分喉切除术,即垂直喉切除术加杓状软骨及部分环状软骨板切除,采用骨肌瓣修复喉缺损。3年和5年生存率分别为78.1%和73.9%,拔管率为81.3%,嗓音满意率为84.3%,所有患者均恢复经口进食。作者认为,对选择性T3期声门癌行扩大垂直部分喉切除术,能保留喉功能,提高生活质量,是可行且可接受的。