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目的 探讨垂直部分喉切除术中保留患侧部分甲状软骨板的临床应用。方法 对 18例声门型喉癌 (T2 13例、T35例 )行垂直部分喉切除术时采用保留患侧甲状软骨板上缘 0 .3cm和后缘 1/5软骨 ,使保留的软骨形成“┌”或“┐”型支架并应用颈深筋膜瓣整复喉缺损的方法进行治疗。结果 18例拔胃管后即恢复吞咽功能 ,仅最初几天进流食时呛咳。术后 2～ 3月拔管 ,均恢复喉发音和呼吸功能 ,拔管率 10 0 % ,随访 1～ 3年 ,复发 1例 ,颈淋巴结转移 1例。结论 保留患侧部分甲状软骨板并应用颈深筋膜瓣整复喉缺损对T2 、部分T3 声门型喉癌的治疗在根治肿瘤、保留喉功能 ,避免喉狭窄、拔管困难和误吸等并发症是有效的 ,术式简便
Objective To investigate the clinical application of preserving the ipsilateral thyroid cartilage in vertical partial laryngectomy. Methods 18 cases of glottic laryngeal carcinoma (T2 13 cases, T35 cases) underwent partial laryngectomy with the retained ipsilateral cartilaginous plate edge 0.3cm and trailing edge 1/5 cartilage, so that the retention of cartilage formation “ ┌ ”or“ ┐ ”type of stent and the application of deep fascia flap nevus defect method of treatment. Results In 18 cases, swallowing function was restored after gastric tube extubation. Only the first few days coughed in feeding fluid. 2 to 3 months after extubation, were laryngeal sounds and respiratory function recovery, extubation rate of 10%, followed up for 1 to 3 years, 1 case of recurrence, cervical lymph node metastasis in 1 case. Conclusions The treatment of partial thyroid cartilage plate and neostriatal fascia flap for T2 and T3 glottic laryngeal carcinoma in radical treatment of tumor, preserving laryngeal function, avoiding laryngeal stenosis, extubation difficulty and aspiration and so on Complications are effective and the procedure is simple