喉切除术后咽瘘发生的原因及处理

• 作 者: 赵君晖 尹学本 付兴华
• 机 构: 华北煤炭医学院附属医院,华北煤炭医学院附属医院,华北煤炭医学院附属医院 063000,063000,063000
• 出 处: 综合临床医学
• 发表日期: 1996年03期
• 关键词: 喉切除术 咽瘘 甲状软骨外膜 带状肌 延长术 手术切除范围 地区发病率 咽腔 喉腔 国内外资料

喉癌是我国北方地区发病率较高的恶性肿瘤,近十年来随着喉癌外科的发展,并配合放疗及其它治疗,取得良好的临床效果.但颈前咽瘘是喉切除术后常见的较难处理的并发症之一,它延长术后病程,增加患者痛苦及经济负担,其发生率据国内外资料为7.8%～65%.现对我院1986～1995年间手术治疗的78例喉癌患者中术后发生咽瘘的6例作简要分析如下.

Laryngeal cancer is a malignant tumor with a high incidence in northern China. With the development of laryngeal surgery in the past decade and with radiotherapy and other treatments, laryngeal cancer has achieved good clinical results. However, anterior cervical pharyngeal fistula is common after laryngectomy It is more difficult to deal with one of the complications, it is to extend the course of postoperative and increase the patient’s suffering and financial burden, the incidence rate of 7.8% to 65% according to domestic and foreign information is now in our hospital from 1986 to 1995, surgical treatment of 78 cases of throat 6 cases of cancer patients after the occurrence of pharyngeal fistula for a brief analysis is as follows.