| 喉癌声门型T_3的功能保全手术 |
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| 引用本文： | 高太虎!030013,崔雨田!030013,段东升!030013,康巨瀛!030013,康秀水!030013. 喉癌声门型T_3的功能保全手术[J]. 中华耳鼻咽喉头颈外科杂志, 1999, 0(6) |
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| 作者姓名： | 高太虎!030013 崔雨田!030013 段东升!030013 康巨瀛!030013 康秀水!030013 |
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| 作者单位： | 太原山西省肿瘤医院头颈外科 |
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| 摘 要： | 的 探讨双蒂双肌瓣在喉癌声门型T3病变切除后的喉功能重建。方法 1984～ 1992年共68例 ,应用单侧双蒂双肌瓣修复声门型T3病变切除后的创面 ,并成形和扩大患侧梨状窝 ,关闭喉腔前壁。结果 5年生存率为 73 5 % (5 0 / 68) ,拔管率为 91 2 % (62 / 68) ,发声良好者占 92 6% (63 / 68) ,所有患者均在 7～ 2 0天后恢复经口进食。结论 单侧双蒂双肌瓣对声门型T3病变行喉扩大垂直部分切除术后的修复是目前较理想的方法之一。
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| 关 键 词： | 喉肿瘤 喉切除术 存活率 外科皮瓣 |
Conservative surgery for glottic cancer with vocal cord fixation (T_3) |
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| GAO Taihu,CUI Yutian,DUAN Dongsheng,et al. Conservative surgery for glottic cancer with vocal cord fixation (T_3)[J]. Chinese journal of otorhinolaryngology head and neck surgery, 1999, 0(6) |
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| Authors: | GAO Taihu CUI Yutian DUAN Dongsheng et al |
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| Affiliation: | GAO Taihu,CUI Yutian,DUAN Dongsheng,et al Department of Head and Neck Surgery,Shanxi Province Cancer Hospital,Taiyuan 030013 |
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| Abstract: | Objective To study the method of reconstruction of laryngeal function by unilateral bi pedicled and bi muscular flaps for glottic cancer of T 3 category Methods From 1984 to 1992, the unilateral bi pedicled and bi muscular flaps were used in 68 patients with T 3 glottic cancer for repairing the surgical defect, enlarging the piriform recess on the affected side and closing the anterior wall of the laryngeal cavity after vertical laryngectomy Results The 5 year survival rate was 73 5%(50/68) The decannulation rate was 91 2%(62/68) sixty three patients had satisfactory phonation (92 6%) All patients resumed mouth food taking within 7 to 20 days after operation Conclusion The unilateral bi pedicled and bi muscular flaps are appropriate for reconstruction of surgical defect in T 3 glottic cancer |
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| Keywords: | Laryngeal neoplasms Laryngectomy Survival rates Surgical flaps |
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