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目的:探讨环状软骨上喉次全切除术的疗效。方法:回顾性分析实施该术式的24例患者(包括5例老年患者)的资料,其中声门癌14例,声门上癌9例,跨声门癌1例;14例行环状软骨会厌舌骨吻合术,10例行环状软骨舌骨吻合术。结果:24例患者的3年及5年生存率分别为91.7%和78.6%,拔管率为91.7%,拔管后所有患者均恢复了发声功能,术后2个月均恢复了吞咽功能。结论:环状软骨上喉次全切除术既能有效切除肿瘤,又可以保留喉的生理功能,且只要严格掌握适应证,老年喉癌患者亦可实施该术式。
Objective: To investigate the effect of subtotal cystectomy on annular cartilage. Methods: The data of 24 patients (including 5 elderly patients) who underwent this operation were retrospectively analyzed. Among them, 14 were glottis, 9 were supraglottic and 1 was transglottic; 14 were annular annuloplasty Bone anastomosis, 10 cases of annular chondral anastomosis. Results: The 3-year and 5-year survival rates of 24 patients were 91.7% and 78.6%, respectively. The rate of extubation was 91.7%. All patients recovered vocalization after extubation, and the swallowing function was recovered 2 months after operation. Conclusion: The subtotal cystectomy can not only effectively remove the tumor, but also preserve the physiological functions of the larynx. As long as the indications are strictly controlled, the laryngeal cancer patients can also perform the operation.