CAJ | 학술논문

目的探讨会厌瓣及胸骨舌骨肌肌筋膜瓣在声门型喉癌手术中的应用.方法回顾性分析50例声门型喉癌行喉部分切除术患者的临床资料,50例患者临床分期为T2N0M0 23例,T3N1 M0 14例,T3N2M0 13例.手术切除肿瘤,应用会厌瓣下托联合胸骨舌骨肌瓣修复喉腔.30例患者行颈淋巴清扫术.本组患者术后均予以放疗,放疗剂量为60Gy.随访3～5年,中位数4.2年.采用Kaplan-Meier法计算生存率.结果本组患者3年生存率为90％,5年生存率为80％.吞咽、呼吸及发音功能均恢复良好.本组拔管率为96％.结论会厌瓣及胸骨舌骨肌肌筋膜瓣是声门型喉癌术中理想的修复材料.
목적 탐토회염판급흉골설골기기근막판재성문형후암수술중적응용.방법 회고성분석50례성문형후암행후부분절제술환자적림상자료,50례환자림상분기위T2N0M0 23례,T3N1 M0 14례,T3N2M0 13례.수술절제종류,응용회염판하탁연합흉골설골기판수복후강.30례환자행경림파청소술.본조환자술후균여이방료,방료제량위60Gy.수방3～5년,중위수4.2년.채용Kaplan-Meier법계산생존솔.결과 본조환자3년생존솔위90％,5년생존솔위80％.탄인、호흡급발음공능균회복량호.본조발관솔위96％.결론 회염판급흉골설골기기근막판시성문형후암술중이상적수복재료.
Objective To evaluate the application of epiglottis plus sternohyoid muscle flap in the surgery for laryngeal cancer.Methods Fifty patients with glottis cancer underwent partial laryngectomy and the postoperative laryngeal defects were reconstructed by epiglottis plus sternohyoid muscle flaps. TNM stages:T2N0M0 23 cases,T3N1M0 14 cases,and T3N2M0 13 cases.All patients received postoperative radical radiotherapy with average dosage of 60 Gy.The patients were followed up for 3 to 5 years,median was 4.2 years.Results The three- and five-year survival rates were 90％ and 80％ respectively. Most cases were with good swallowing,voice and breath functions.The decannulation rate was 96％.Conclusion Epiglottis plus sternohyoid muscle flap is an opitional technique for the reconstruction of laryngeal functions after partial laryngectomy.