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全喉切除术后咽瘘是常见的并发症,减少咽瘘的发生率是喉全切除术的一个重要课题。我院自1977年～1989年12月共行全喉切除术134例,发生咽瘘13例,占9.7％,现报告如下: 一般资料本组男12例,女1例,年龄36岁～58岁。单纯全喉切除5例,全喉切除+单侧颈淋巴廓清术2例,全喉切除+双侧颈淋巴廓清术2例,全喉切除+发音重建3例,全喉切除+食道撕脱、胃代食道、下咽—胃吻合术1例。术前放疗3例。咽瘘多发生在术后第3天至第7天。咽瘘发生有关因素:(1) 与血红素关系:
The pharyngeal fistula is a common complication after total laryngectomy. Reducing the incidence of pharyngeal fistula is an important issue in total laryngectomy. In our hospital from 1977 to December 1989, we performed total laryngectomy in 134 cases. There were 13 cases of pharyngeal fistula, accounting for 9.7%. The current report is as follows: General information The group of 12 males and 1 female, aged 36 to 58 year old. Totally laryngectomy was performed in 5 cases, total laryngectomy plus unilateral cervical lymphadenectomy in 2 cases, total laryngectomy plus bilateral cervical lymphadenectomy in 2 cases, total laryngectomy plus pronunciation in 3 cases, total laryngectomy plus esophageal avulsion, Gastro-esophagus, hypopharyngeal-gastric anastomosis in 1 case. Preoperative radiotherapy in 3 cases. Pharyngeal spasm occurred in the third to seventh days after surgery. Factors related to pharyngeal spasm: (1) Relationship with hemoglobin: