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再造含披裂软骨的喉发声管在次全喉切除术中的应用(附7例报告)
引用本文:甄泽年,赵敏,袁友文,张贤,陈辉.再造含披裂软骨的喉发声管在次全喉切除术中的应用(附7例报告)[J].山东医大基础医学院学报,2000(1).
作者姓名:甄泽年  赵敏  袁友文  张贤  陈辉
作者单位:南京军区福州总医院耳鼻喉科!350001
摘    要:目的 :于次全喉切除术后重建喉发声功能。方法 :7例喉癌病变范围 T3 N0 M0 行次全喉切除术 ,术中保留健侧的披裂软骨及杓间区粘膜 ,用披裂软骨与下咽粘膜制作具有括约功能的喉发声管。结果 :患者术后发声功能良好 ,无误吸。随访 2~ 5年 ,死亡 2例 ,健在 5例。结论 :该术式可保存部分喉功能。

关 键 词:喉肿瘤  喉切除术  软骨  发声

Larygeal phonatory tube comprising arytenoid cartilage in secondary total laryngectomy:With a report of 7 cases
Zhen Zenian Zhao Min Yuan Youwen,et al.Larygeal phonatory tube comprising arytenoid cartilage in secondary total laryngectomy:With a report of 7 cases[J].Journal of Preclinical Medicine College of Shandong Medical University,2000(1).
Authors:Zhen Zenian Zhao Min Yuan Youwen  
Abstract:Objective:To reconstruct the laryngeal phonatory function under secondary total laryngectomy.Method:Seven cases with laryngeal carcinoma (T 3N 0M 0) were treated with secondary total laryngectomy.The arytenoid cartilage of the healthy side and interarytenoid fold were remained.A laryngeal phonatory tube with sphincteral function was constructed with arytenoid cartilage and hypopharyngeal mucosa.Results:The phonatory and deglutitory function were good.Followed up from 2 to 5 years,2 patients died,5 have been alive.Conclusion:Laryngeal function can be partially restored by this operation.
Keywords:Laryngeal neoplasms  Laryngectomy  Cartilage  Phonation
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