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声门水平切除胸骨舌骨肌喉功能重建术治疗T2期声门癌
引用本文:王超,金德均,等.声门水平切除胸骨舌骨肌喉功能重建术治疗T2期声门癌[J].中华耳鼻咽喉科杂志,2003,38(1):10-11.
作者姓名:王超  金德均
作者单位:哈尔滨医科大学附属二院耳鼻咽喉科150086
摘    要:目的:探讨喉部分切除后胸骨舌骨肌喉功能重建对T2期声门癌的疗效。方法:对1992-1998年66例T2期声门癌患者行喉声门水平部分切除术,同时以胸骨舌骨肌重建声带。结果:全部患者术后2-3周均顺利拔管,恢复了呼吸、吞咽和发音的全部喉功能。复发3例,复发率为4.5%;失访3例,3年生存率为97.0%(64/66例),5年生存率为93.8%(45/48)。结论:喉部分切除后胸骨舌骨肌喉功能重建术在保证患者的生存率的同时,提高了患者的生存质量。

关 键 词:声门水平切除  胸骨舌骨肌喉功能重建术  治疗  T2期声门癌

Laryngeal function reconstruction with sternohyvoid muscle after partial laryngectomy]
Chao Wang,De-jun Jin,Jian-guang Lu.Laryngeal function reconstruction with sternohyvoid muscle after partial laryngectomy][J].Chinese Journal of Otorhinolaryngology,2003,38(1):10-11.
Authors:Chao Wang  De-jun Jin  Jian-guang Lu
Affiliation:Department of Otorhinolaryngology, Second Hospital of Harbin Medical University, Harbin 150086, China. hrbwangchao@sohu.com
Abstract:OBJECTIVE: To study the laryngeal function reconstruction with sternohyvoid muscle after partial laryngectomy to treat T2 phase of glottis cancer. METHODS: 66 patients diagnosed to be at T2 phase of glottis cancer were treated by partial laryngectomy from 1992 to 1998. At the same time, they were rebuilt vocal cords with sternohyvoid muscle. RESULTS: All patients were decannulated from 2 to 3 weeks. They renewed own respiration, swallow and voice function. Overall three-year survival rate was 97.0% and five-year survival rate was 93.8%. CONCLUSION: New operation is superior than traditional one in improving survival rate and life quality.
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