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目的探讨彻底切除病变并用残喉组织重建声瘘管的方法。方法总结９８例喉癌近全喉切除术（ＮＴＬ）喉侧切开径路，从健侧进入喉腔，可彻底切除病变，便于保留尚未受累的残喉组织，以重建声瘘管。结果随访５年以上的７４例，术后５年生存率和５年无癌生存率分别为７９％和７１％。结论近似喉切除术（ＮＴＬ）可以克服其他术式的缺欠，有助于提高喉切除的肿瘤疗效和功能疗效，进一步改善患者术后生存质量。
Objective To investigate the method of completely removing the lesion and reconstructing the fistula with the tissue of the residual throat. Methods 98 cases of laryngeal laryngeal near laryngectomy (NTL) laminectomy approach, from the contralateral into the larynx, the complete removal of the lesion, easy to retain the remaining tissue of the residual lesion in order to rebuild the fistula. Results The follow-up of more than 5 years in 74 cases, postoperative 5-year survival rate and 5-year cancer-free survival rates were 79% and 71%. Conclusions Approximate laryngectomy (NTL) can overcome the shortcomings of other surgical procedures, which can help to improve the curative effect and functional curative effect of laryngectomy and further improve the postoperative quality of life of patients.