喉部分切除术后喉功能重建92例临床分析

目的 探讨喉部分切除术后喉功能重建方法的选择应用。方法 对1990年9月~2006年9月92例行喉部分切除术患者的术式及修复方法进行了回顾性分析。结果 主要应用残余粘膜、肌筋膜瓣、带状肌瓣及颈前皮瓣修复喉结构，总体术后拔管率为97.8%，均获得了较好的吞咽及发音功能。1年内局部复发率7.6%，3年内死亡5例，5年内死亡10例。结论 行喉部分切除术时应尽可能保留正常组织，根据切除范围选择合理的修复方法。

Clinic analysis on 92 cases with reconstruction of laryngeal function after partial laryngectomy

Objective：To discuss the selective application of the reconstruction of laryngeal function after partial laryngectomy. Methods：Retrospectively analysize the operative techniques and reconstruction methods of 92 cases from September 1990 to September 2006, who were executed the partial laryngectomy. Results：Having used remnant mucous membrane, muscular fascial flap, strap muscle flap and cervical skin flap to repair the laryngeal defects, the total postoperative decanulation rate was 97.8%, and all cases got the better deglutation and voiced function. The local recurrence rate in one year was 7.6%, 5 cases died in 3 years, 10 cases in 5 years. Conclusion：The normal tissues should be kept as much as possible during the partial laryngectomy, and the reasonable reconstruction method should be choosed according to the size of laryngeal defect.