早期声门型喉癌术后喉腔缺损黏膜修复的疗效观察

目的:观察喉部分切除术后不同组织修复喉腔缺损创面的疗效。方法:西安交通大学第一附属医院2010年1月至2015年1月收治的60例喉癌患者，均接受喉部分切除术，术中肿瘤切除均造成较大创面，在修复过程中，10例T1期患者采用局部黏膜瓣修复，40例T2期患者采用口腔修复膜修复，10例T3期患者采用双蒂接力肌修复。结果:采用不同修复方法的60例喉癌患者均取得良好的疗效，均保留了喉的正常生理功能并按预期拔管，恢复正常生活。结论:喉癌患者行过部分喉切除术后，根据组织创面缺损的情况采用自体组织或人工材料修复，手术方式得当并结合围手术期的规范化护理，均可取得良好的疗效。

Observation on curative effect of mucosa defect repairing in laryngeal cavity after early glottic carcinoma surgery

Objective:To observe the curative effects of different tissues in repairing defects in the laryngeal cavity after partial laryngectomy.Methods:60 patients with laryngocarcinoma admitted to the first affiliated hospital of Xi'an Jiaotong university within a period from Jan.2010 to Jan.2015 were treated with partial laryngectomy，after which there were large wounds.In the reparative therapy，10 of the patients in T1 period were healed by using topical membrane flaps，40 patients in T2 period were healed by adopting rehabilitation membranes，and 10 of the patients in T3 period were treated with bi-pedicle muscular repair.Results:These wound repair treatments for the above 60 patients were successful，for their normal physiological laryngeal functions were recovered with on-time extubation，enabling them to enjoy normal life.Conclusion:For patients with laryngocarcinoma after partial laryngectomy，their surgical wounds were healed through autologous tissue repair or by adopting artificial materials according to their wound tissue defects.Both the rational operative methods and standardized perioperative nursing contributed to the good results.