Objective; To investigate the clinical effect of supracricoid partial laryngectomy for laryngeal cancer and the reconstruction of the function of larynx. Methods; Clinical data of fifty-six patients( 14 cases of supraglottic carcinoma, 42 cases of glottic carcinoma )who accepted supracricoid subtotal laryngectomy from 1999 to 2010 were retrospectively analyzed, among them 47 patients accepted supracricoid cricohyoidoepiglottopexy, 9 accepted cricohyoidopexy. Results; All the patients had satisfactory speech function and could eat normally. 92. 8% of them were decannulated after operation. The overall 3-year and 5-year survival rates were 85. 4% and 75. 0% , respectively. Conclusion; Supracricoid partial laryngectomy can treat part of the supraglottic and a large part of glott%目的:探讨环状软骨上喉次全切除术治疗喉癌并重建喉功能的疗效.方法:回顾性分析1999年～2010年间行环状软骨上喉次全切除,并行环舌骨固定术或环-舌骨-会厌固定术的喉癌患者56例(声门上型14 例,声门型42例的临床资料.其中行环-舌骨-会厌固定术47例,行环-舌骨固定术9 例.结果:所有患者术后发音效果较好,并能正常进食.92.8%的患者拔除气管套,3年和5年生存率分别为85.4%和75.0%.结论:环状软骨上喉次全切除术适用于部分声门上型喉癌和大部分声门癌,可以在充分地切净肿瘤的同时,保留喉的功能.
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