喉癌患者喉部分切除后会厌在喉重建中的应用

目的：探讨会厌在喉癌部分切除喉功能重建中的应用价值。方法：对1982-1999年间因喉癌行喉部分切除并实施会厌喉功能重建术,共168例,对其治疗效果进行分析。168例患者中,声门上癌25例,声门癌140例,声门下癌3例。根据病变情况不同,采用相应的切除方式,以残存会厌下移重建喉功能。结果：168例患者中,135例拔除气管套管,拔管率为80.36％。所有患者均拔除鼻饲管恢复正常饮食,无误吸。全部患者3年生存率为89.48％,5年生存率为74.14％。结论：会厌是喉部分切除功能重建较为理想的方法。

Application of epiglottis in laryngeal reconstruction

Objective To observe the application value of epiglottis in laryngeal reconstruction after partial laryngectomy. Methods The data of 168 patients, 25 with supraglottic carcinoma (T1N0 2, T2N0 10,T2N1 1,T2N2 1,T3N0 7,T3N2 1,T4N0 2, and T4N2 1), 140 with glottic carcinoma (T1N0 36,T1N1 1,T2N0 52,T2N1 1,T2N2 1,T3N0 40,T3N2 2,T4N0 6, and T4N2 1), and 3 with subglottic carcinoma (T3N0 1,and T4N0 2), who underwent partial laryngectomy from 1982 to 1999 were summarized. The choice of surgical procedure was decided on the pathology of the larynx. Epiglottis was used in larynx reconstruction. Results Out of the 168 cases, 135 cases were decannulated with a decannulation rate of 80.36%, regained deglutation, recovered all laryngeal functions, and resumed normal diet. None presented complication of accidental aspiration. The 3-year and 5-year survival rates were 89.48% and 74.14% respectively. Conclusion Epiglottis has many advantages in laryngeal reconstruction.