摘要
目的 分析晚期下咽、颈段食管癌及甲状腺癌侵及食管、气管,应用食管内翻拔脱咽胃吻合术重建上消化道术后,并发症发生的原因及采取的措施。方法 1985～2000年间治疗32例,其中下咽侵及颈段食管23例、颈段食管癌5例、甲状腺癌侵及食管4例。全喉及食管切除27例,保留喉5例。结果 32例中22例一期愈合,其中5例保留喉功能。8例发生胃 壁不同程度的坏死,2例发生大面积胃壁坏死,并发心力衰竭,合并肺炎术后3周内死亡。结论 咽胃吻合术后主要并发症是由多种原因所致的胃壁缺血坏死,应采取措施保证上提胃的正常血运。
Objective To Analysis the causes for complications and measure taken in superelimentary tract reconstruction by esophagus inversible striping and pharyngogastric anastomosis in advanced hypopharyngeal and cervical esophageal cancers, and thyroid cancer invading cervical esophagus and trachea. Methods From 1985 to 2000 year, 32 cases were treated by this surgery. Among them, hypopharyngeal cancers invading larynx and cervical esophagus were 23 cases, esophagus 5 cases, and thyroid cancers invading cervical esophagus and trachea 4 cases. The total laryngoesophageal resection were 27 cases, the preserved larynxes were 5 cases. Results Among 32 cases, 22 were successful, and 5 of 22 perserved laryngeal functions. 8 cases occurred the gastrowall necrosis in defferent degrees. 2 cases had large size gastrowall necrosis, complicated cardiac dysfunction, and died of pneumonia 3 weeks after operation. Conclusion The fetal complication of pharyngogastrostomyie is the gastrowall necrosis resulted from lack of blood supply that caused by several reasons. The necessary measures should be taken to pledge the normal blood supply to the pulled up stomach.
出处
《实用肿瘤学杂志》
CAS
2003年第4期287-289,共3页
Practical Oncology Journal
