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目的探讨舌骨在喉癌喉部分切除喉功能重建术中的应用价值。方法对24例喉癌患者进行喉部分和喉次全切除术,缺损的喉部全部采用带胸骨舌骨肌和带肩胛舌骨肌的舌骨体做支架修复重建,通过拔管率、恢复吞咽情况及发音质量对其进行评价分析。结果全部病例均在第9~10天顺利拔管和恢复吞咽,22例均恢复较好的发音。结论带胸骨舌骨肌和肩胛舌骨肌的舌骨体适用范围较广,是喉癌部分切除和次全切除喉重建中较为理想的材料和方法。
Objective To investigate the value of hyoid bone in reconstruction of laryngectomy and laryngectomy. Methods Twenty-four laryngeal cancer patients underwent total laryngectomy and subtotal laryngectomy. The larynx of the defect was repaired and reconstructed with hyoid bone with sternal hyoid muscle and hyoid muscle. The swallowing rate was restored by extubation rate Conditions and pronunciation quality of its evaluation analysis. Results All the cases were successfully extubated and swallowed on the 9th to 10th days, and all 22 cases recovered better pronunciation. Conclusions The hyoid body with sternohyoid muscle and scapular hyoid muscle has a wide range of application. It is an ideal material and method for partial laryngectomy and subtotal resection laryngeal reconstruction.