摘要
目的：探讨颈前胸舌转门肌皮褥在下咽癌外科治疗中喉功能保留的应用。方法：总结1991年3月～2001年5月共收治的48例下咽癌患者的临床及随访资料，其中40例应用颈前胸舌转门肌皮瓣一期重建喉及下咽，保留喉功能。另8例中，3例直接拉拔缝合修复创面，5倒患者因全身状况不允许（心肌梗死3例，严重肺气肿1例及本人拒绝行喉功能重建1例）未保留喉功能。结果：应用颈前胸舌转门肌皮瓣保留喉功能的40例患者全部恢复发音及吞咽功能，部分（15／40）恢复经喉呼吸功能。患者3年和5年生存率分别为50．0％和31．4％；术后并发症的发生率为37．5％（15／40）。结论：在下咽癌的外科治疗中应用颈前转门肌皮瓣，可以在重建下咽同时大大提高患者喉功能保留的机会，而且并不降低患者的生存率，不增加并发症，可以有效地提高患者术后的生存质量，临床值得推广应用。
Objective：To study the application of anterior cervical flaps in surgical treatment of hypopharyngeal cacinomas. Methods：The clinical and follow-up data of 43 patients with hypopharyngeal cacinoma from 1991 to 2001 were collected. Forty patients were applied cervical flaps in surgery to reconstruct larynx and pharynx. Three patients received wound suturing directly. Four patients did not preserve larynx function because of heart infarction and severe emphysema. One patient refused reconstruction surgery. Results： The swallow and speak functions recovered in 40 patients after application of anterior cervical flaps to preserve laryngeal function, and 18 patients could breathe through larynx. The 3-year and 5-year survival rates of these patients were 50.0 % and 31.4%, respectively. The occurrence of complication after surgery was 37.5 % （15/40）. Conclusion：Application of anterior cervical flaps in surgery in hypopharyngeal cacinomas is useful to reconstruct pharynx and increase the chance to preserve larynx function. It is worthy of application in clinic because it don＇t reduce survival rate and don＇t increase the occurrence of complication.
出处
《肿瘤》
CAS
CSCD
北大核心
2006年第1期88-89,103,共3页
Tumor
关键词
下咽肿瘤/外科学
外科皮瓣
喉
人工
Hypopharyngeal neoplasms/surgery
Surgical flaps
Larynx,artificial
