喉气管自体移植修复下咽癌术后缺损

目的：探讨喉气管自体移植修复下咽癌术后缺损的疗效。方法：对11例下咽癌患者术后采用喉气管自体移植修复下咽，术后随访3年。结果：6例无瘤生存，吞咽功能恢复良好。1例死于肺转移。4例局部复发，其中2例已死，2例带瘤生存。结论：认为该术式简便、创伤小，吞咽功能恢复良好、但对于广泛侵及喉及食管口的下咽部病变，需选用其它更为广泛的术式或其它重建技术。

Laryngotracheal Autograft for Pharyngeal Carcinoma

Purpose: To investigate the outcome of laryngotracheal autograft in patients with pharyngeal carcinoma after tumor exci-sion. Method: Reconstruction of hypopharynx by using laryngotracheal autograft was performed in 11 cases of hypopharynx carcinoma.This series of cases were followed up after operation for three years. Results: 6 cases were tumor-free with successful swallowing rehabili-tation. 1 case died of pulmonary metastases. 4 cases experinced local recurrences. Among the four cases, two had died, the other two stillsurvive with the tumors. Conclusion: It was considered that this procedure had the advantages of simple method, less damage and goodresult in restoration to normal swallow function. But larger hypopharyngeal lesion that wldely invaded the Iarynx and extended to theesophageal introitus, might need more wide-field surgery and other reconstructive techniques.