健侧半喉重建晚期梨状窝癌术后的咽部及颈段食管缺损

胡国华; 魏莲枝; 朱江

doi:10.13406/j.cnki.cyxb.2003.06.031

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健侧半喉重建晚期梨状窝癌术后的咽部及颈段食管缺损

更新时间：2024-01-17

- 健侧半喉重建晚期梨状窝癌术后的咽部及颈段食管缺损
- Hypopharynx and cervical esophagus reconstruction with remaining larynx and pharynx after operation on the advanced pyriform sinus cancer
- 重庆医科大学学报 2003年第6期页码：787-788
- 作者机构：
  
  1. 重庆医科大学临床学院耳鼻咽喉科
  2. 重庆医科大学临床学院耳鼻咽喉科,重庆,400016
- 作者简介：
- 基金信息：
- DOI：10.13406/j.cnki.cyxb.2003.06.031
  中图分类号： R739.6
- 纸质出版日期：2003，
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[1]胡国华,魏莲枝,朱江.健侧半喉重建晚期梨状窝癌术后的咽部及颈段食管缺损[J].重庆医科大学学报,2003(06):787-788.

HUO Guohua, et al. Hypopharynx and cervical esophagus reconstruction with remaining larynx and pharynx after operation on the advanced pyriform sinus cancer[J]. Journal of Chongqing Medical University, 2003,(6):787-788.
[1]胡国华,魏莲枝,朱江.健侧半喉重建晚期梨状窝癌术后的咽部及颈段食管缺损[J].重庆医科大学学报,2003(06):787-788. DOI： 10.13406/j.cnki.cyxb.2003.06.031.

HUO Guohua, et al. Hypopharynx and cervical esophagus reconstruction with remaining larynx and pharynx after operation on the advanced pyriform sinus cancer[J]. Journal of Chongqing Medical University, 2003,(6):787-788. DOI： 10.13406/j.cnki.cyxb.2003.06.031.

摘要

目的 :探讨健侧半喉重建晚期梨状窝癌术后咽部缺损的治疗方法及治疗效果。方法 :对 12例晚期梨状窝癌患者行半喉半咽切除术

2例同时行颈段食管切除术

并用健侧半喉重建咽部及颈段食管缺损。结果 :术中无死亡病例。仅 1例术前放疗的病人术后发生咽漏

全部病例愈合后均可进普通饮食

也无吞咽梗阻。目前

所有病例随访时间均超过 2年

其 2年生存率为 75 %

最长存活 5年。结论 :利用半喉半咽切除术后残存的正常喉粘膜瓣重建晚期梨状窝癌术后咽部及颈段食管缺损

取材方便

操作简单

创伤小

并发症少。

Abstract

Objective:To evaluate the outcome of hypopharynx reconstruction using remaining larynx and pharynx in patients after hemipharyngectomy

partial laryngectomy and cervical esophagectomy.Methods:Twelve patients with advanced pyriform sinus cancer underwent hemipharyngectomy and partial laryngectomy.Two patients underwent cervical esophagectomy at the same time.All cases were reconstructed by the remaining larynx.Results:All cases were successful.Only one patient suffered from postoperative pharyngocutaneous fistulas

who had had perioperative radiotherapy.Patients could swallow ordinary foods and had no strictures after operation.Up to now

patients have been followed over 2 years

and two-year survival rate was 75%.One case has survived over 5 years. Conclusion:The hypopharynx reconstruction with remaining larynx and pharynx is simple and convenient.It is less invasive and has less complication.

关键词

喉咽癌喉咽切除术修复术

Keywords

Hypopharyngeal neoplasmsHypopharyngectomyReconstruction

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