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目的 :探讨下咽颈段食管癌手术后组织缺损的修复方法。方法 :1 2例下咽、颈段食管癌行部分喉、下咽、颈段食管切除术后 ,应用健侧无软骨的喉气管复合组织瓣修复下咽和颈段食管缺损。结果 :1 0例患者切口一期愈合 ,2例切口感染并发咽瘘 ,1例术后 1年死于肺转移。 1 1例术后 1月内恢复了吞咽功能 ,另1例行二期咽瘘修补术 ,效果满意。经随访 1年、3年生存率分别为 91 6% (1 1 /1 2 )和 5 8 3 % (7/1 2 )。结论 :喉气管复合组织瓣修复下咽和颈段食管缺损手术创伤小 ,并发症少 ,易推广。
Objective: To investigate the method of repairing the tissue defect after the operation of esophagectomy. METHODS: A total of 12 cases of hypopharynx and cervical esophageal cancer underwent partial laryngeal and hypopharyngeal esophageal resection. The laryngeal and tracheal composite tissue flaps were used to repair the hypopharyngeal and cervical esophageal defects. Results: The wounds were healed in 10 cases, 2 cases were infected with pharyngeal fistula, and 1 case died of lung metastasis 1 year after operation. 1 1 cases within 1 month after the resumption of swallowing function, and the other 2 cases pharyngeal fistula repair surgery, the effect is satisfactory. After one year of follow-up, the 3-year survival rates were 91.6% (1 1/12) and 583% (7/1 2), respectively. Conclusion: Laryngeal and tracheal composite tissue flap for the repair of pharyngeal and cervical esophageal defect surgical trauma, less complications, easy to promote.