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我科自1979年以来用自体带蒂舌骨-胸舌骨肌瓣修复垂直半喉切除术创面25例,经观察疗效较满意,现介绍如下。一、临床资料25例中男23例,女2例;年龄45～77岁。TNM分类:T_1 6例,T_2 14例,T_3 4例,T_4 1例;No 24例,N_1 1例;均为M_0。病检均为鳞癌。28例中随访20例,3年生存率为82.4%(14/17),其中5年生存率为80.8%(8/10)。余下3例尚不满3年,术后2年死亡1例,复发改全喉切除2例。
In our department since 1979, we have used autologous pedicled skeletal-thoracic musculoskeletalis flaps to repair 25 cases of vertical hemi-laryngectomy wounds. The curative effect was satisfactory. Now we introduce them as follows. First, clinical data 25 cases of 23 males and 2 females; aged 45 to 77 years old. TNM classification: T_1 6 cases, T_2 14 cases, T_3 4 cases, T_4 1 case; No 24 cases, N_1 1 case; all M_0. The disease is squamous cell carcinoma. Of the 28 cases followed up in 20 cases, the 3-year survival rate was 82.4% (14/17), and the 5-year survival rate was 80.8% (8/10). The remaining 3 cases were still less than 3 years old, 1 died 2 years after surgery, and 2 cases had recurrent resection of total laryngectomy.