Zhu Xiaolin, Wen Weiping, Jiang Aiyun, Lei Wenbin, Bu Lijin, Shu Zhenzhong
Hospital of Otorhinolaryngology, First Affiliated Hospital, Otorhinolaryngology Institute of Sun Yat-sen University, Guangzhou 510800, China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2008 Dec;22(23):1079-82.
To analyze the conservative management and outcomes of pharyngocutaneous fistula after total laryngectomy.
Twenty-one patients with postoperative fistulas were identified and treated by conservative therapy.
Different treatment were given basing on the three stages of pharyngocutaneous fistula: drainage and cleaning stage, pressure bandaging stage and healing stage. Fourteen patients (66.7%) with the conservative therapy resumed oral feeding after closure of fistula, the other 7 patients had to be cured by further operation.
Management basing on the stages of pharyngocutaneous fistula can achieve satisfied outcome. It can provide important information for pharyngocutaneous fistula's treatment.
分析全喉切除术后咽瘘的保守治疗方法及效果。
确定21例术后发生咽瘘的患者，并采用保守治疗。
根据咽瘘的三个阶段给予不同治疗：引流清理阶段、加压包扎阶段和愈合阶段。14例（66.7%）经保守治疗后瘘口闭合，恢复经口进食，另外7例需进一步手术治愈。
基于咽瘘各阶段的治疗可取得满意效果。可为咽瘘的治疗提供重要信息。
