肿瘤预防与治疗2019，Vol.32Issue(3)：253-258,6.DOI:10. 3969／j. issn. 1674-0904. 2019. 03. 010
应用胸骨舌骨肌联合会厌 -舌骨固定术重建喉垂直部分切除术后喉功能*
Reconstruction of Larynx Function Using Sternohyoid Muscle and Crico-hyoidoepiglottopexy after Vertical Partial Laryngectomy
摘要
Abstract
Objective: To explore the applied value of sternohyoid muscle and cricohyoidoepiglottopexy ( CHEP) for re-construction of larynx function after vertical partial laryngectomy (VPL). Methods: The function of the larynx was recon-structed after VPL by using sternohyoid muscle and CHEP performed on randomized 122 cases of glottic laryngocarcinoma of stage T2N0M0 from January 2011 to December 2013. Meanwhile, unilateral or bilateral selective neck dissections were oper- ated, and the function of the larynx was evaluated separately at 1 week and 3 months after operation. Results: Swallowing function:109 ( 109／122,89. 3% ) cases were assessed with the " I" degree because of a smooth swallow without choking or coughing; 7 (7／122,5. 7% ) cases were assessed with the " II" degree for swallowing liquid food with choking or coughing;and the last 6 (6／122,5% ) patients who choked and coughed obviously with dry and liquid food were in the " III" degree. Decannulation rate: all cases were decannulated successfully without laryngostenosis, and the decannulation rate was 100% . Respiratory function: 12 (12／122,9. 8% ) cases were confirmed to the " I" degree, 77 (77／122,63. 1% ) cases were as-sessed with the " II" degree, and the last 33(33／122,27. 1% ) cases were assessed with the " III" degree. Voice function:96 (96／122,78. 6% ) patients spoke hoarsely (degree II), and 26 (26／122,21. 4% ) patients talked with obviously hoarse voice (degree III). The 3-year and 5-year survival rates for all patients were about 93. 3% and 89. 8% respectively, and there was no statistically significant difference between the 3-year survival rate and the 5-year survival rate (χ2 =0. 411,P>0. 05). Conclusion: The application of sternohyoid muscle and CHEP in the reconstruction of larynx function after VPL has many advantages, such as high decannulation rate and satisfactory respiratory, voice and swallowing functions, which de-serves to be recommended.关键词
胸骨舌骨肌/带状肌/喉垂直部分切除术/部分喉切除术/喉功能/喉癌Key words
[ Key words] Sternohyoid muscle/ Strap muscle/ Vertical partial laryngectomy/ Partial laryngectomy/ Laryngeal function/Laryngocarcinoma分类
医药卫生引用本文复制引用
Dou Mingliang,Luo Xiao,Lan Xiaojiao,Lan Yanli,Xu Kailun,Zhang Meng,Tang Zhengqi,Liu Dongmei..应用胸骨舌骨肌联合会厌 -舌骨固定术重建喉垂直部分切除术后喉功能*[J].肿瘤预防与治疗,2019,32(3):253-258,6.基金项目
四川省医学科研课题基金(编号:S16033) This study was supported by Medical Research Project of Sichuan Province ( NO. S16033). （编号:S16033）
