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目的探讨颈段食管癌的外科治疗方法和结果。方法颈段食管癌手术切除后,根据切除范围选择不同的自身空腔脏器,包括全胃、结肠、颈阔肌皮瓣以及自体喉与气管组织重建消化道。结果术后90.7%的患者恢复了较好的吞咽功能,88.7%患者同时保留了正常发声功能。食管胃或咽胃吻合者均有不同程度的反流。结论最大程度切除肿瘤及其所侵及的组织,尽可能地使患者保留良好的吞咽和发声功能,并防止各类并发症的发生是手术成功的关键。
Objective To investigate the surgical treatment of cervical esophageal cancer and the results. Methods After surgical resection of cervical esophageal cancer, different hollow organs were selected according to the resection scope, including the entire stomach, colon and platysma flaps and the reconstruction of digestive tract with autologous larynx and trachea. Results After operation, 90.7% of the patients recovered the good swallowing function, while 88.7% of the patients retained the normal vocal function at the same time. Esophageal or pharyngeal anastomosis have varying degrees of reflux. Conclusion It is the key to the successful operation to maximally remove the tumor and the tissue it infiltrates, to keep the patients as good as possible swallowing and vocalization and to prevent the occurrence of various complications.