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本文报告自1981年以来,应用微血管游离空肠移植方法治疗咽腔或颈段食管缺损17例,全部患者均由恶性肿瘤、外伤、误吞腐蚀剂等原因引起,基本修复方法如下:通常在左侧颈部,上起乳突尖下至锁骨沿胸锁乳突肌前缘切开颈部皮肤,向外侧拉开颈动脉鞘,将喉头转向内侧,明确病变部位,插一根橡皮导管(鼻饲管)有助于狭窄部定位和切除。与此同时,另一组医生作剖腹术选择合适空肠段,一般在Treitz韧带远端
This article reports 17 cases of pharyngeal or cervical esophageal defects treated by microvascular free jejunal transplantation since 1981. All patients are caused by malignant tumor, trauma and erroneous swallowing corrosive. The basic repair method is as follows: usually in the left neck Department, from the mastoid tip up to the clavicle cut along the front of the sternocleidomastoid neck skin, the carotid sheath opened to the outside, the throat turned to the inside, clear lesion, insert a rubber catheter (nasogastric tube) Help stenosis positioning and removal. At the same time, another group of doctors for laparotomy select the appropriate jejunal segment, usually in the distal Treitz ligament