摘要：目的：探讨下咽癌患者不同病程的手术方法的选择。方法：回顾性分析1988年至2000年外科治疗下咽癌病人12例，其中6例行颈前皮瓣、4例行胸大肌肌皮瓣、2例用残余及半喉修复下咽术。结果：术后随访3年以上，生存率分别为88%(1年)，66%(3年)。结论：应综合不同的病程、病人对生活质量的要求以及病人的经济条件等因素选择下咽癌患者手术方式。

    关键词：下咽肿瘤；组织修复；存活率

    The Surgical Treatment and Reconstructive Methods in Management of Hypopharyngeal Cancer

    SHI Jing-qiang, WANG He-ping, et al

    (The First People's Hospital of Xuzhou, Jiangsu Xuzhou 221002, China)

    Abstract： Objective： To study the surgical treatment and the long-term effect of different reconstructive methods in surgical treatment of hypopharyngeal cancer. Method： A retrospective review of 12 ( stage Ⅲ,6; stage Ⅳ,6) cases with hypopharyngeal cancer that were treated with surgical treatment from 1988 to 2000 were accomplished . Six patients were reconstructed with front neck flap. four patients were reconstructed with pectorals major myocutaneous flap . Two patients were reconstructed with partials larynx and pharynx . Result： The overall 1 and 3 years survival rate of 12 patients were 88%,66%. Conclusion：Different surgical treatments for patients with hypopharyngeal cancer should be selected according to the different stage, the demand for quality of living and economics. ......