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喉大部切除术后喉功能重建
引用本文:尚小领 岳海清. 喉大部切除术后喉功能重建[J]. 山东医大基础医学院学报, 1999, 13(3): 162-163
作者姓名:尚小领 岳海清
作者单位:张家口医学院第一附属医院耳鼻咽喉-头颈外科!075000
摘    要:
为 23 例喉癌患者行喉大部分切除术,采用下列方法重建喉功能,(1)重建声门关闭功能;(2)重建会厌覆盖功能;(3)保留或重建梨状窝;(4)保护喉上神经和喉返神经;(5)保持宽大的下咽部;(6)切断环咽肌。23 例中21 例获得随访,术后均能发音,术后2~4 周拔除鼻饲管,无误吸及呛咳。5 年生存11 例,生存率 478% 。

关 键 词:喉肿瘤  喉切除术  声门  会厌

RESTORATION THE FUNCTIONS OF LARYNX AFTER LARGE PARTIAL LARYNGECTOMY
Shang Xiaoling Yue Haiqing Lin Yantao. RESTORATION THE FUNCTIONS OF LARYNX AFTER LARGE PARTIAL LARYNGECTOMY[J]. Journal of Preclinical Medicine College of Shandong Medical University, 1999, 13(3): 162-163
Authors:Shang Xiaoling Yue Haiqing Lin Yantao
Affiliation:The First Affiliated Hospital of Zhangjiakou Med.Univ
Abstract:
Twenty three with laryngocarcinoma were performed large partial laryngectomy,and their functions of larynx were restored by methods as follows:(1)reconstruct the glottis occlusive function;(2)reconstruct the covering function of epiglottis;(3)remain or reconstruct the pyriform apertue carcinoma ;(4)protect superior laryngeal nerve and recurrent laryngeal nerve;(5)remain wide laryngeal pharynx;(6)amputate cricopharyngeal muscle.All the parients got vocalization,and they were extracted the nasal feeding pipe at 2 to 4 weeks after surgery,meanwhile no disinspiratory and choking accident occured.All the data show that the living rate of 5 years is 47.8%.
Keywords:Laryngeal neoplasms  Laryngectomy  Glottis  Epiglottis
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