【作者】 王旭红；

【导师】 米玉录；

【作者基本信息】 山西医科大学 ， 外科， 2004， 硕士

【摘要】 目的 评价喉部分切除双蒂双肌瓣修复术的远期疗效。方法 对我科1993年1月—1996年1月间喉部分切除双蒂双肌瓣修复的111例喉鳞癌病人进行随访及疗效分析。其中，声门上水平部分喉切除54例，垂直部分喉切除44例，3/4部分喉切除13例。结果 总的3年、5年生存率分别为86.5%、76.6%，复发率12.6%, 术后发音功能良好，88例于1—4周内恢复吞咽功能，气管套管拔除率91.0%。结论 喉部分切除双蒂双肌瓣修复术在保证生存率的同时，有效地保留了喉功能，提高了生存质量，是一种较好的修复方法。更多还原

【Abstract】 Objective To evaluate the long term results of partial laryngectomy reconstructed with Bipeduncle and Bimuscle flap (BP-BMF) in the treatment of laryngeal cancers. Methods A series of 111 cases treated by partial laryngectomy repaired with BP-BMF, between January 1993 and January 1996 ,were analysed, of whom 54 were supraglottic horizontal partial laryngectomy, 44 were vertical partial laryngectomy, and 13 were horizontal-vertical partial laryngectomy. Results The 3 years and 5 years total survival rates were 86.5% and 76.6% respectively. The local recurrent rate was 12.6% during the period of 5 years follow-up. Most of the cases acquired good speech, and recovered their swallow function within 1—4 weeks. Decannulation rate was 91.0%. Conclusion This procedure increased survival rate , in the meanwhile, it preserved laryngeal physiologic function, and improved life quality. So it is a ideal surgical technology, and is worthy to be recommended for partial laryngecotomy.更多还原