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[全喉切除术后咽皮肤瘘的当前治疗方法]

[Current treatment of pharyngocutaneous fistula after total laryngectomy].

作者信息

Xiong Y J, Jin R Q, Liu F, Peng S P

机构信息

Gannan Medical College, Gannan, 341000, China.

Department of Otolaryngology Head and Neck Surgery, the First Affiliated Hospital of Wannan Medical College.

出版信息

Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Dec 5;31(23):1858-1862. doi: 10.13201/j.issn.1001-1781.2017.23.020.

Abstract

Pharyngocutaneous fistula is a common and serious complication after total laryngectomy, and it will seriously affect patients' postoperative recovery. The treatment of pharyngeal fistula mainly include conservative and surgery therapy. The use of negative-pressure wound therapy and endoscopic technique to treat post laryngectomy pharyngocutaneous fistula also acquire good result in recent years. However, specific therapy options should be choose according to the type and size of the fistula, the patient's overall health condition and preoperative chemoradiotherapy etc. This article will give a review on the status of treatment of pharyngocutaneous fistula after total laryngectomy.

摘要

咽皮肤瘘是全喉切除术后常见且严重的并发症,会严重影响患者术后恢复。咽瘘的治疗主要包括保守治疗和手术治疗。近年来,使用负压伤口疗法和内镜技术治疗喉切除术后咽皮肤瘘也取得了良好效果。然而,应根据瘘口的类型和大小、患者的整体健康状况以及术前放化疗等情况选择具体的治疗方案。本文将对全喉切除术后咽皮肤瘘的治疗现状进行综述。

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