喉癌甲状软骨边框式切除及喉功能修复重建术

Sashexscinded vertical partial laryngectomy and function reconstruction in laryngeal carcinoma

摘要:

摘要：目的探讨喉垂直部分切除术中甲状软骨边框式切除方式及喉腔修复方法治疗声门型喉癌的疗效。方法收集2002~2009年诊治的行甲状软骨边框式喉部分喉切除术患者19例，观察患者术后吞咽、进食、发音及拔管、复发及生存率。结果边框式切除术治疗声门癌患者误咽率31.6%（6/19），拔管率68.4% (13/19)；但术后所有患者均可对话交流，存在不同程度声嘶；3、5年累积生存率分别为78.9%和63.2%。结论甲状软骨边框式切除术较完整地保留了喉腔结构及喉生理功能，较好地提高了患者的生存率及降低了术后复发率。

Abstract:

ObjectiveTo investigate surgical method for sash excision of thyroid cartilage in vertical partial laryngectomy and function reconstruction in laryngeal carcinoma.MethodsClinical data of 19 patients suffering from laryngeal carcinoma and receiving vertical partial laryngectomy combined with sash excision of thyroid cartilage in our department from 2002 to 2009 was analyzed retrospectively. Postoperative functions of swallowing, deglutition and phonation were evaluated. And extubation rate, survival rate and recurrence rate were analyzed.ResultsIn all 19 cases, the aspiration and extubation rates were 31.6% (6/19) and 68.4% (13/19) respectively. All the patients could make dialogue and communication effectively although with hoarseness of different degrees. Their 3 and 5years survival rates were 78.9% and 63.2%.ConclusionsVertical partial laryngectomy combined with sash excision of thyroid cartilage can effectively preserve structure and function of larynx, and can therefore improve the survival rate of the patients and reduce recurrence of laryngeal carcinoma.