喉癌T3病变保留喉功能的临床应用 |
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引用本文: | 宋志民,刘芳,王敏,张军,雷磊,谢延军. 喉癌T3病变保留喉功能的临床应用[J]. 昆明医学院学报, 2013, 0(11): 56-58 |
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作者姓名: | 宋志民 刘芳 王敏 张军 雷磊 谢延军 |
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作者单位: | 延安大学附属医院耳鼻咽喉科二病区,陕西延安716000 |
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基金项目: | 陕西省卫生厅科研基金资助项目(2012D19) |
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摘 要: | 目的:探讨喉癌T3病变保留喉功能的有效治疗方法。方法采用单侧双蒂接力肌骨膜瓣,对32例喉癌T3病变患者行扩大垂直喉部分切除术后喉腔结构Ⅰ期重建。结果术后随访1~3 a,患者发音良好,呼吸通畅,未见肿瘤复发。拔管率100%。结论表明喉癌T3病变患者行扩大垂直喉部分切除术,采用单侧双蒂接力肌骨膜瓣重建喉腔结构,既能有效切除肿瘤,又可获得较满意的发音呼吸功能,具有良好的临床应用前景。
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关 键 词: | 喉癌 T3病变 扩大垂直喉部分切除术 发音呼吸功能 |
Clinical Study of Preservation of Laryngeal Function in Treating Laryngeal Carcinoma T3 Lesions |
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Affiliation: | SONG Zhi--min, LIU Fang, WANG Min, ZHANG Jun, LEI Lei, XIE Yan--jun (The Second Otalaryngology Ward, The Affiliated Hospital of Yah' an University, Yah'an Shanxi 716000, China) |
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Abstract: | Objective To explore the effective method for preserving laryngeal function in the treatment of laryngeal cancer of T3 lesions. Methods Utilizing unilateral pedicled muscle-periosteal flap, 32 cases with laryngeal carcinoma of T3 lesions underwent extended vertical partial laryngectomy for laryngeal cavity structure after one-stage reconstruction. Results With 1-3 years postoperative follow-up, the patients had good pronunciation, unobstructed respiration and no tumor recurrence, with extubation rate of 100%. Conclusion It showed that treating patients with laryngeal carcinoma of T3 lesions with extended vertical partial laryngectomy using unilateral pedicled muscle-periosteal flap reconstruction for laryngeal cavity structure can remove tumor effectively and obtain the satisfactory respiratory pronunciation function. The method has a good clinical application prospect. |
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Keywords: | Laryngeal carcinoma T3 lesion Extended vertical partial laryngectomy Respiratorypronounce function |
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