环上喉切除喉功能重建术78例疗效分析

目的 回顾20年来对喉声门癌保留会厌的环上喉切除喉功能重建的远期疗效，研究这一手术的可行性和保证者生活质量的效果。方法 随访1980年1月－1996年1月期间行环上喉切除保留会厌喉功能重建术78例，总结统计其手术疗效。结果 78例患者中，随访3年时有68例存活，2例死于肿瘤复发，8例死于其它疾病，3年生存率87．2％。随访5年有59例存活，5年生存率75．6％（59／78）。随访满10年的38例患者中有8例存活，占21．1％。存活满20年者2例。术后拔管率提高到97．4％（76／78）。患者恢复了正常吞咽功能，且喉的发音功能理想。结论 改良的保留会厌环喉切除环咽吻合喉功能重建术既能彻底切除肿瘤，又重建 喉功能，提高了患者的生存质量，值得推广。

Retrospective analysis of supracricoid partial laryngectomy with epiglottis preserved and reconstruction of laryngeal function]

OBJECTIVE: To retrospectively evaluate the curative and functional consequences of supracricoid partial laryngectomy with epiglottis preserved. METHODS: From 1980 to 1996, 78 patients underwent supracricoid partial laryngectomy with the epiglottis preserved. The survival rate and the functional results were analyzed. RESULTS: Overall three-year survival rate was 87.2%(68/78), overall five-year survival rate was 75.6% (59/78), and ten-year survival rate was 21.1% (8/38). All patients resumed normal oral feeding. 97.4% (76/78) achieved tracheal extubation. Respiratory and speaking functions were good. CONCLUSION: Supracricoid partial laryngectomy with epiglottis preserved and reconstruction of laryngeal function not only improved local cancer control, but also preserves laryngeal physiologic function.