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报道120例喉癌患者行全喉切除,术中采用舌骨径路进入咽腔。3年存活率87%,5年存活率82%,术后并发咽瘘3例。该径路具有损伤小,出血少,进入咽腔简捷,术野宽畅等优点。对咽腔,会厌,舌根,会厌前间隙及声门上,声门区的病变观察较详细,便于确定手术切除的安全边界;对咽腔粘膜损伤小,为咽腔修复创造了有利条件,从而降低了咽瘘发生率。还介绍了舌骨径路开咽的手术要点,并对其适应证进行了讨论。
A total of 120 cases of laryngeal cancer were reported undergoing total laryngectomy, and hyoid bone pathways were used during operation to enter the pharynx. 3-year survival rate of 87%, 5-year survival rate of 82%, postoperative complications of pharyngeal fistula in 3 cases. The path with less damage, less bleeding, into the pharynx simple, wide surgical field and so on. On the pharynx, epiglottis, tongue, epiglottic frontal space and supraglottic, glottic lesions observed in more detail, easy to determine the safety margin of the surgical resection; the pharyngeal mucosal damage is small, for the pharyngeal repair created favorable conditions, which Reduce the incidence of pharyngeal fistula. Also introduced the hyoid path opening surgery points, and its indications were discussed.