摘要
目的探讨下咽癌累及颈段食管切除后有效修补方法。方法 28例患者分别在切除后采用胃咽吻合、结肠上提、胸大肌皮瓣、颈部筋膜瓣、颈部皮瓣、残喉代食管等方法进行了修补。结果全部患者恢复经口进食,8例保留喉部患者中3例进食有明显的误咽。经锻炼后进食成功。1年生存率76%(19/25)。3年生存率55%(11/20),5年生存率45%(5/11)。结论对不同的缺损情况应采用不同的方法修补,尽量采用颈、咽局部组织修补,综合治疗是很重要的。
Purpose To review the effective repairign management of surgical procedure for hypopharyngeal carcinoma.Methods After removing the carcinoma,28 patients were repaired by different management including connecting stomach and throat, colon-lifting pectoral major muscular-cutaneous flap, cervical fascia flap, cervical skin flap, incomplete larynx replacing esophagus,etc. Results All patients have regained the normal ability of taking food through mouth. Three of the 8 patients who reserved their larynxes absorbed food into the exophagus by mistake, but after practise they have succeeded in taking food. One-year survival rate is 76% (19/25). Three-year survival rale is 55% (11/20) . Five-year survival rate is 45% (5/11). Conclusion To take different ways to repair the damaged parts accordingly and use the tissue around the neck and throat to repair them as much as possible, it's necessary to treat them comprehensively.
出处
《中国眼耳鼻喉科杂志》
2004年第1期25-26,共2页
Chinese Journal of Ophthalmology and Otorhinolaryngology
