喉部分切除术后喉功能重建92例临床分析 |
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引用本文: | 龚剑,黄金中,李丽艳. 喉部分切除术后喉功能重建92例临床分析[J]. 广东医学, 2008, 29(2): 273-275 |
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作者姓名: | 龚剑 黄金中 李丽艳 |
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作者单位: | 南方医科大学珠江医院耳鼻咽喉-头颈外科,广州,510282;南方医科大学珠江医院耳鼻咽喉-头颈外科,广州,510282;南方医科大学珠江医院耳鼻咽喉-头颈外科,广州,510282 |
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摘 要: | 目的 探讨喉部分切除术后喉功能重建方法的选择应用。方法 对1990年9月~2006年9月92例行喉部分切除术患者的术式及修复方法进行了回顾性分析。结果 主要应用残余粘膜、肌筋膜瓣、带状肌瓣及颈前皮瓣修复喉结构,总体术后拔管率为97.8%,均获得了较好的吞咽及发音功能。1年内局部复发率7.6%,3年内死亡5例,5年内死亡10例。结论 行喉部分切除术时应尽可能保留正常组织,根据切除范围选择合理的修复方法。
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关 键 词: | 喉肿瘤 喉切除术 喉功能重建 |
收稿时间: | 2007-09-28 |
修稿时间: | 2007-09-28 |
Clinic analysis on 92 cases with reconstruction of laryngeal function after partial laryngectomy |
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Abstract: | Objective:To discuss the selective application of the reconstruction of laryngeal function after partial laryngectomy. Methods:Retrospectively analysize the operative techniques and reconstruction methods of 92 cases from September 1990 to September 2006, who were executed the partial laryngectomy. Results:Having used remnant mucous membrane, muscular fascial flap, strap muscle flap and cervical skin flap to repair the laryngeal defects, the total postoperative decanulation rate was 97.8%, and all cases got the better deglutation and voiced function. The local recurrence rate in one year was 7.6%, 5 cases died in 3 years, 10 cases in 5 years. Conclusion:The normal tissues should be kept as much as possible during the partial laryngectomy, and the reasonable reconstruction method should be choosed according to the size of laryngeal defect. |
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