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改良Pearson手术行发声重建(附16例报告)
引用本文:姜保禄,孙新中.改良Pearson手术行发声重建(附16例报告)[J].临床耳鼻咽喉头颈外科杂志,1998,12(12):543-544.
作者姓名:姜保禄  孙新中
作者单位:山东,聊城地区人民医院耳鼻咽喉科,252000
摘    要:应用改良Pearson手术对1例喉切除术后患者行发声重建,手术中应用残存咽喉部粘膜缝制咽气管发声管,发声,吞咽功能均满意,仅1例失去发声功能,说明改良Pearson手术对晚期咽、喉癌患者的发声重建有重要价值。

关 键 词:Pearson手术  咽肿瘤  喉肿瘤  咽气管  发声重建

Speech reconstruction after laryngectomy by using modified Pearson′s operation
Jiang Baolu,Sun Xinzhong.Speech reconstruction after laryngectomy by using modified Pearson′s operation[J].Journal of Clinical Otorhinolaryngology,1998,12(12):543-544.
Authors:Jiang Baolu  Sun Xinzhong
Institution:Department of Otolaryngology, People's Hospital of Liaocheng Prefecture, Shandong Province, Liaocheng 252000.
Abstract:Since 1990, 16 patients received speech reconstruction after laryngectomy by using modified Pearson's operation. Among them, T3, T4 laryngeal cancer 12 cases, T4 hypopharyngeal cancer 4 case, 14 were male and 2 were female, the eldest was 73 years old and the youngest 51 years old, and the average age was 58 years. In the operation, the tracheo-pharyngeal speech tube were sewn up with mucosa remained at laryngopharynx. During 1-5 years follow up, the speech function and swallow function were satisfactory. The 3 and 5-year survival rates were 77.78% and 60.00% respectively. They obtained a good long-term speech function except one. It showed that speech reconstruction with the modified Pearson's operation has important value to advanced pharyngeal and laryngeal carcinoma.
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