声门癌术后会厌喉成形术改良的经验

为客观评价声门癌的会厌喉成形（Ｋ－Ｓ－Ｔ）术的远期根治性及功能性效果，总结１００例会厌喉成形术的十年改良经验。改良要点为：①会厌瓣侧缘与环状软骨杓区缝合，形成代杓状软骨，以缩小过大的声门。②另侧会厌上缘和杓会厌襞与声室带断缘缝合，而不与甲状软骨断缘缝合，这样，两侧会厌的游离缘和杓会厌襞尽可能下移达声门水平，以形成代声带。③纵行切开会厌舌面软骨，但保留会厌喉面粘骨膜完整，以形成一锐角的代前连合。３、

Ten-year experiences of epiglottic laryngoplasty after partial laryngectomy]

In order to objectively evaluate the long-term result of epiglottic laryngoplasty (ELP), ten-year experience of ELP after partial laryngectomy in 100 patients with glottic cancer was analysed. Our program included 1. complete excision of laryngeal carcinoma; 2. correct selection of material for laryngoplasty (LP); 3. technical modification of LP. The 3, 5 and 10 year survival rates were 87%, 79.5% and 66.7% respectively. It is believed that modified ELP is better than original K-S-T technique in the aspect of preserving all laryngeal functions.