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游离空肠移植的影像学评估。

Radiographic evaluation of the free jejunal graft.

作者信息

Torres W E, Fibus T F, Coleman J J, Clements J L, Bernardino M E

出版信息

Gastrointest Radiol. 1987;12(3):226-30. doi: 10.1007/BF01885148.

DOI:10.1007/BF01885148
PMID:3596140
Abstract

Jejunal autotransplantation is an increasingly popular method of reconstructive surgery for the upper aerodigestive tract following laryngopharyngectomy. From 1977 to 1985, 55 free jejunal grafts were performed on 49 patients. Thirty patients (61%) experienced reconstructive complications including graft failure in 6, fistula in 18, and strictures in 10. Postoperative dysphagia occurred in 26 patients (53%). The cause of the dysphagia is often complex and related to a number of factors that are discussed. While jejunal autotransplantation is successful in selected patients, complications are not infrequent. The radiologist plays an important role in the evaluation and follow-up of these patients.

摘要

空肠自体移植是喉咽切除术后上消化道重建手术中一种越来越常用的方法。1977年至1985年期间,对49例患者进行了55次游离空肠移植。30例患者(61%)出现重建并发症,其中6例移植失败,18例出现瘘管,10例出现狭窄。26例患者(53%)术后出现吞咽困难。吞咽困难的原因通常很复杂,与多种因素有关,文中对此进行了讨论。虽然空肠自体移植在部分患者中取得了成功,但并发症并不罕见。放射科医生在这些患者的评估和随访中发挥着重要作用。

相似文献

1
Radiographic evaluation of the free jejunal graft.游离空肠移植的影像学评估。
Gastrointest Radiol. 1987;12(3):226-30. doi: 10.1007/BF01885148.
2
[Reconstruction of defects following pharyngolaryngectomy with free transplanted jejunum].[游离空肠移植修复喉咽切除术后缺损]
HNO. 1986 Jun;34(6):248-51.
3
[Value of free, microvascular anastomosis of a small intestine transplant in reconstructive surgery following resection of T4 tumors of the upper aerodigestive tract].
Laryngol Rhinol Otol (Stuttg). 1986 Nov;65(11):643-5.
4
Dysphagia secondary to invasive candidiasis of a jejunal free flap.空肠游离皮瓣侵袭性念珠菌病继发吞咽困难
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Free jejunal grafts of the pharynx: surgical methods, complications, and radiographic evaluation.咽部游离空肠移植:手术方法、并发症及影像学评估。
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6
[Current concepts of surgical rehabilitation of deglutition following pharyngolaryngectomy].
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The free jejunal graft in head and neck reconstruction.用于头颈部重建的游离空肠移植。
Laryngoscope. 1981 Nov;91(11):1887-95. doi: 10.1288/00005537-198111000-00014.
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Radiation of jejunal interposition in T3-T4 upper aerodigestive tumours.T3 - T4 上消化道肿瘤空肠间置术的放射治疗
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[Technique of microvascular jejunum transfer for replacement of the cervical esophagus].[用于替代颈段食管的空肠微血管移植技术]
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引用本文的文献

1
Swallowing disorder following salvage total pharyngo-laryngo-esophagectomy with free jejunum reconstruction.游离空肠重建挽救性全咽喉食管切除术后吞咽障碍
Oncol Lett. 2018 May;15(5):7355-7361. doi: 10.3892/ol.2018.8213. Epub 2018 Mar 8.

本文引用的文献

1
Reconstruction of cervical esophagus, hypopharynx and oral cavity using free jejunal transfer.
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2
Free jejunal grafts for reconstruction of pharynx and cervical esophagus.用于咽和颈段食管重建的游离空肠移植术。
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Microvascular free jejunum transfer.游离空肠微血管移植
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The role of the free jejunal graft in reconstruction of the pharynx and cervical esophagus.游离空肠移植在咽和颈段食管重建中的作用。
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Reappraisal of contrast media used to detect upper gastrointestinal perforations: comparison of ionic water-soluble media with barium sulfate.
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Alteration in esophageal motility after laryngectomy.
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Partial laryngectomy: analysis of associated swallowing disorders.部分喉切除术:相关吞咽障碍分析
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