摘要
[目的]探讨喉及下咽癌切除手术减少咽瘘发生的措施。[方法]1996年至2008年,共施行喉及下咽癌手术302例:喉部分切除术155例,近全喉切除术58例,全喉切除术64例,保留喉功能的下咽癌切除术9例,下咽癌切除喉气管整复术4例,下咽颈段食管癌切除气管代食道术12例,其中,颈清扫术132例。总结分析围手术期处理及术中操作技巧对减少咽瘘的作用。[结果]本组病例发生咽瘘9例,发生率3.0%,属于较低水平。[结论]术中缝合及术后加压包扎技巧能有效预防咽瘘的发生。
[Objective]To discuss the measures to prevent pharynx fistula after larynx and lower-pharynx cancer. [Method]In all 302 cases were made larynx and lower pharynx cancer operation： part resection of larynx 155 cases, nearly full larynx resection 58, and full larynx resection 64, 9 had lower-pharynx cancer resection with larynx function, 4 had larynx trachea taxis of lower-pharynx cancer, and 12 had trachea resection replaced with esophaqus for lower-pharynx neck section oesophaqus cancer, among which, 132 had neck clearing operation. Sum up the function of decreasing pharynx fistula for the treatment and operation skill in peri-operation period.
出处
《浙江中医药大学学报》
CAS
2008年第6期754-755,共2页
Journal of Zhejiang Chinese Medical University
关键词
喉癌
下咽癌
手术
咽瘘
larynx cancer
lower-pharynx cancer
operation
pharynx fistula
