| 累及舌根会厌癌的手术治疗 |
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| 引用本文： | 庄惠学,梁树新,纪宏志,王抗美,贡振扬. 累及舌根会厌癌的手术治疗[J]. 中华耳鼻咽喉头颈外科杂志, 1996, 0(6) |
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| 作者姓名： | 庄惠学 梁树新 纪宏志 王抗美 贡振扬 |
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| 作者单位： | 济南军区总医院耳鼻咽喉科 |
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| 摘 要： | 为探讨累及舌根之会厌癌的手术治疗并恢复喉功能的方法，对２６例进行了回顾性研究。其中男性１４例，女性１２例，年龄从４３岁至６２岁，除２例行全喉切除外，２４例行上半喉或水平垂直次全喉加舌根切除，将下半喉上吊与咽及舌根相吻合。１１例行双侧颈廓清术，１０例行单侧颈廓清术。结果２４例术后均能说话，２０例拔除气管套管，喉功能全部恢复，５年生存率５７．９％（１２／１９）。认为单纯上半喉加舌根切除，咽进路更合理。术中注意保留舌下神经，将下半喉尽力向前上提，与舌根牢牢固定使其隐藏于舌根之前下是恢复喉功能的关键
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| 关 键 词： | 喉肿瘤 癌，鳞状细胞 外科手术 舌根 |
Thesurgicaltreatmentfortheepigloticcancerextendedtothebaseoftongue |
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| ZhuangHuixue,LiangShuxin,JiHongzhi,et al.. Thesurgicaltreatmentfortheepigloticcancerextendedtothebaseoftongue[J]. Chinese journal of otorhinolaryngology head and neck surgery, 1996, 0(6) |
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| Authors: | ZhuangHuixue LiangShuxin JiHongzhi et al. |
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| Affiliation: | ZhuangHuixue,LiangShuxin,JiHongzhi,etal.JinanCommandGeneralHospital,PLA.Jinan250031 |
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| Abstract: | casesoftheepigloticcancerextendedtothebaseofthetonguewerestudiedretro-spectively.Amongthem,14weremaleand12female.Theagevariedfrom43to62.Besidestwocaseswhounderwenttotallaryngectomy,theothertwenty-fourweretreatedwithsupraglotichori-zontalpartiallaryngectomyorhorizontoverticalsubtotallaryngectomyandresectionofpartofbaseofthetongue.11casesreceivedbilateralradicalneckdissection(RND)and10casesunilateralRNDsi-multenously.Theresultsshowedtwenty-fourcaseshadresumedspeakingability,twentyhadbeendecannulatedandrestoredthelaryngealfunctions.The5-yearsurvivalratewas57.9%(12/19).Itwasconcludedthattranspharyngealapproachwasreasonableforsupraglotichorizontalpartiallaryn-gectomyassociatedwiththeresectionofthebaseofthetongue. |
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| Keywords: | LaryngealneoplasmsCarcinoma squamouscelSurgery operativeBaseoftongue |
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