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目的 探讨如何更好地用颈前带状肌瓣对喉癌手术患者行喉功能重建。方法 回顾性分析了 117例垂直半喉及扩大垂直部分喉切除术或 3/ 4喉切除术后的喉功能 ,其中 71例用单蒂舌骨肌瓣修复喉腔 ,46例用双蒂带状肌瓣修复喉腔、重建喉功能。结果 舌骨肌瓣组 6 9例 (97 2 % )可发哑声 ,术后拔胃管时间 12～ 2 8d ,平均 15 6d ,气管套管拔除率 :T2 期病人92 3% ,T3 期 79 3 %。双蒂带状肌瓣组 46例 (10 0 % )均可发出哑声 ,术后拔胃管时间 10～ 2 1d ,平均 13 5d ,气管套管拔除率 :T2 期病人 10 0 % ,T3 期病人 6 0 %。结论 舌骨肌瓣修复的病人吞咽功能似乎恢复较慢 ,但该肌瓣修复的T3 期喉癌病人拔管率高。
Objective To explore how to better use the anterior cervical band muscle flap laryngeal surgery in patients with throat function reconstruction. Methods A retrospective analysis of 117 cases of vertical half-throat and extended vertical partial laryngectomy or laryngectomy after 3/4 laryngectomy, of which 71 cases of mono-hyoid muscle flap repair laryngeal cavity, 46 cases with double-d Muscle flap repair throat, reconstruction of laryngeal function. Results Sixty-nine cases (97.2%) in the hyoid muscle flap group could be dumb. The duration of gastric tube withdrawal was 12 ~ 28 days (mean 15 days). The removal rate of tracheal tube was 92.3% in T2 stage and 79 3%. 46 patients (100%) with double pedicled band flap group could all send out dumb sound. The time of gastric tube removal was 10 ~ 21 days after operation, with an average of 135 days. The removal rate of tracheal tube was 10% of patients in stage T2, T3 60% of patients. Conclusion The swallowing function seems to recover slowly in the repair of hyoid muscle flap, but the extubation rate of T3 laryngeal cancer repair in this muscle flap is high.