CAJ | 학술논문

目的：探讨喉癌T3病变保留喉功能的有效治疗方法。方法采用单侧双蒂接力肌骨膜瓣,对32例喉癌T3病变患者行扩大垂直喉部分切除术后喉腔结构Ⅰ期重建。结果术后随访1～3 a，患者发音良好，呼吸通畅，未见肿瘤复发。拔管率100%。结论表明喉癌T3病变患者行扩大垂直喉部分切除术，采用单侧双蒂接力肌骨膜瓣重建喉腔结构,既能有效切除肿瘤，又可获得较满意的发音呼吸功能，具有良好的临床应用前景。
목적：탐토후암T3병변보류후공능적유효치료방법。방법채용단측쌍체접력기골막판,대32례후암T3병변환자행확대수직후부분절제술후후강결구Ⅰ기중건。결과술후수방1～3 a，환자발음량호，호흡통창，미견종류복발。발관솔100%。결론표명후암T3병변환자행확대수직후부분절제술，채용단측쌍체접력기골막판중건후강결구,기능유효절제종류，우가획득교만의적발음호흡공능，구유량호적림상응용전경。
Objective To explore the effective method for preserving laryngeal function in the treatment of laryngeal cancer of T3 lesions. Methods Utilizing unilateral pedicled muscle-periosteal flap, 32 cases with laryngeal carcinoma of T3 lesions underwent extended vertical partial laryngectomy for laryngeal cavity structure after one-stage reconstruction. Results With 1-3 years postoperative follow-up, the patients had good pronunciation, unobstructed respiration and no tumor recurrence, with extubation rate of 100%. Conclusion It showed that treating patients with laryngeal carcinoma of T3 lesions with extended vertical partial laryngectomy using unilateral pedicled muscle-periosteal flap reconstruction for laryngeal cavity structure can remove tumor effectively and obtain the satisfactory respiratory pronunciation function. The method has a good clinical application prospect.