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咽食管重建技术的功能评估

Functional evaluation of pharyngoesophageal reconstructive techniques.

作者信息

Schechter G L, Baker J W, Gilbert D A

出版信息

Arch Otolaryngol Head Neck Surg. 1987 Jan;113(1):40-4. doi: 10.1001/archotol.1987.01860010044012.

DOI:10.1001/archotol.1987.01860010044012
PMID:3790283
Abstract

This work represents a 12-year experience from the Eastern Virginia Medical School, Norfolk, with 115 patients who had pharyngoesophageal resections for cancer treatment. Each patient received reconstruction by one of four major techniques: deltopectoral flaps (n = 43), pectoralis myocutaneous flaps (n = 36), gastric pull-ups (n = 19), and free jejunal autografts (n = 17). An analysis of the procedures with emphasis on the functional results indicates that each technique has advantages in specific circumstances. Guidelines for the application of these techniques are presented.

摘要

这项研究展示了弗吉尼亚州东部医学院诺福克分校12年以来的经验,涉及115例因癌症治疗而接受咽食管切除术的患者。每位患者均通过以下四种主要技术之一进行重建:三角肌胸大肌皮瓣(43例)、胸大肌肌皮瓣(36例)、胃上提术(19例)和游离空肠自体移植术(17例)。对这些手术进行分析并着重关注功能结果表明,每种技术在特定情况下都有优势。文中给出了这些技术应用的指导原则。

相似文献

1
Functional evaluation of pharyngoesophageal reconstructive techniques.咽食管重建技术的功能评估
Arch Otolaryngol Head Neck Surg. 1987 Jan;113(1):40-4. doi: 10.1001/archotol.1987.01860010044012.
2
Analysis of the methods of pharyngoesophageal reconstruction.
Head Neck Surg. 1984 May-Jun;6(5):953-70. doi: 10.1002/hed.2890060510.
3
Reconstruction with free bowel autografts after pharyngoesophageal or laryngopharyngoesophageal resection.
Am J Surg. 1989 Oct;158(4):333-6. doi: 10.1016/0002-9610(89)90128-1.
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Coloplasty and free intestinal transplants in the treatment of extensive cancers of the pharyngo-oesophageal junction.结肠成形术和游离肠移植治疗咽食管交界部广泛性癌症
Arch Otorhinolaryngol. 1989;246(5):384-7. doi: 10.1007/BF00463601.
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Clinical Assessment of Reconstruction Involving Gastric Pull-Up Combined with Free Jejunal Graft After Total Pharyngolaryngoesophagectomy.全喉咽食管切除术后胃上提联合游离空肠移植重建的临床评估
World J Surg. 2017 Sep;41(9):2329-2336. doi: 10.1007/s00268-017-3948-0.
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Gastric pull-up reconstruction combined with free jejunal transfer (FJT) following total pharyngolaryngo-oesophagectomy (PLE).胃上提重建联合游离空肠移植术(FJT)在全咽-喉-食管切除术(PLE)后的应用。
Int J Surg. 2015 Jun;18:95-8. doi: 10.1016/j.ijsu.2015.03.025. Epub 2015 Apr 10.
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Total pharyngolaryngectomy and cervical esophagectomy with jejunal autotransplant reconstruction: complications and results.全喉咽切除术及颈段食管切除术联合空肠自体移植重建术:并发症及结果
Laryngoscope. 1988 Sep;98(9):911-4. doi: 10.1288/00005537-198809000-00001.
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[Plastic repair of the laryngopharynx and cervical esophagus after their removal for cancer].[喉咽及颈段食管因癌切除后的整形修复]
Vestn Otorinolaringol. 1984 Jul-Aug(4):51-5.
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Reconstruction of the pharynx and cervical esophagus.咽和颈段食管重建。
Semin Surg Oncol. 1995 May-Jun;11(3):208-20. doi: 10.1002/ssu.2980110306.
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[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.

引用本文的文献

1
Hypopharyngeal Reconstruction: Possibilities, Outcomes, and Updates for Improving the Human Health for Quality of Life.下咽重建:提高人类健康质量的可能性、结果和更新。
Comput Intell Neurosci. 2022 Feb 8;2022:6132481. doi: 10.1155/2022/6132481. eCollection 2022.
2
Laryngopharyngeal reconstruction.喉咽重建术。
Indian J Otolaryngol Head Neck Surg. 2006 Apr;58(2):117-9. doi: 10.1007/BF03050763.
3
Evaluation of blood flow by color Doppler sonography in free jejunal interposition grafts for cervical esophageal reconstruction.
World J Surg. 2005 Mar;29(3):382-7. doi: 10.1007/s00268-004-7426-0.
4
Reconstruction of the hypopharynx with U-shaped pectoralis major myocutaneous flap after total pharyngo-laryngectomy.全喉咽切除术后采用U形胸大肌肌皮瓣重建下咽。
Eur Arch Otorhinolaryngol. 2005 Apr;262(4):259-62. doi: 10.1007/s00405-004-0809-x. Epub 2004 Jun 2.
5
Dysphagia after pharyngolaryngeal cancer surgery. Part II: Implications for reconstructive procedures.咽喉癌手术后的吞咽困难。第二部分:对重建手术的影响。
Dysphagia. 1995 Fall;10(4):279-81. doi: 10.1007/BF00431423.