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1996年2月至1998年1月收治喉癌累及会厌根及声门下患者10例,按1987年 UICC 标准10例中 T_3N_(1b)1例,T_3N_28例,T_4N_21例,其中4例系喉癌行喉部分切除后复发,病变均为双侧声、室带会厌根受累,其中1例累及梨状窝内侧壁,3例累及声门下。6例行单侧颈廓清术,4例行双侧颈廓清及上纵隔廓清术。手术切除肿瘤后利用舌瓣下拉整复咽、喉及气管前、外侧壁缺损,6例恢复喉的3项功能,4例恢复吞咽及发音功能。随访满1年8例,1例局部复发并颈淋巴转移拒绝治疗死亡。生存满2年者3例,均健在。除3例发生皮下感染经换药治愈外,无其它并发症发生。本术式对使用常规整复方法难以恢复功能的病例有较满意的效果。
From February 1996 to January 1998, 10 patients with laryngeal cancer involving epiglottis and supraglottic were included. According to the 1987 UICC standard, 10 cases were T_3N_ (1b) 1 case, T_3N_28 case and T_4N_21 case, of which 4 cases were laryngeal carcinoma Throat partial resection recurrence, lesions were bilateral sound, epiglottic room involvement, including 1 case of piriformis lateral wall, 3 cases involving the subglottic. 6 cases of unilateral neck dissection, 4 cases of bilateral neck clearance and the upper longitudinal clearance surgery. After removal of the tumor, the tongue was used to pull down the pharyngeal pharynx, the larynx and the anterior and lateral wall defects of the trachea. Six cases recovered laryngeal function and the other four regained their swallowing and phonation functions. Eight cases were followed up for one year, one case of local recurrence and cervical lymph node metastasis refused to treat the death. Survival of 2 years in 3 cases, are alive. In addition to three cases of subcutaneous infection cure by cure, no other complications. This procedure for the use of conventional methods of restoration is difficult to restore the function of the cases have more satisfactory results.