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目的提高中晚期喉癌的生存质量,降低术后呛咳程度。方法20例中晚期喉癌采用次全喉切除术,保留一侧或两侧杓状软骨,用带蒂甲状软骨或肌膜于一侧或两侧杓状软骨和环状软骨缝合重建声带,并将切除的杓状软骨处加高形成再建杓区即环舌固定。结果20例术后吞咽均无呛咳,发音良好19例,拔管率100%。结论改良式喉环上部分切除术能提高中晚期喉癌的生存质量,能防止误吸,提高了发音质量。
Objective To improve the quality of life in advanced laryngeal cancer and reduce postoperative cough. Methods Twenty cases of advanced laryngeal carcinoma were treated with subtotal laryngectomy. One or both sides of the arytenoid cartilage were preserved. Reconstruction of the vocal cords with pedicled thyroid cartilage or sarcoleus on one or both sides of the arytenoid cartilage and cricoid cartilage. Of the arytenoid cartilage at the formation of re-built spoon area or ring tongue fixed. Results 20 cases of postoperative swallowing no choking, good pronunciation in 19 cases, extubation rate of 100%. Conclusion The modified partial laryngectomy can improve the quality of life of advanced laryngeal cancer, to prevent aspiration, improve the quality of pronunciation.