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[采用右回结肠移植物进行食管咽成形术治疗食管和下咽腐蚀性狭窄后遗症]

[Esophagopharyngoplasty by transplantation of a right ileocolic graft in the treatment of sequelae of esophageal and hypopharyngeal caustic stenosis].

作者信息

Tran Ba Huy P, Assens P, Mislawski R, Brun J G, Frachet B, Beutter P, Brasnu D, Celerier M

出版信息

Ann Otolaryngol Chir Cervicofac. 1982;99(10-11):489-95.

PMID:7158906
Abstract

Esophagopharyngoplasty was employed to treat 7 cases of severe stenosis from scarring due to caustic burns. Emphasis is placed on the advantages of retrosternally applied right ileocolic transplants using the supraphyoidal anterior pharyngeal approach. Results were considered as satisfactory in 4 cases, exclusively oral alimentation being possible, though bougierage, sometimes repeated, was necessary. The 3 unsuccessful cases were due to loss of oropharyngeal muscle peristaltism in one case, progression of scar retraction in the second patient, and the psychological behavior and lack of essential active cooperation in the third case.

摘要

采用食管咽成形术治疗7例因腐蚀性烧伤瘢痕形成导致的严重狭窄。重点介绍经胸骨后应用右回结肠移植、经咽上间隙前入路的优点。4例效果满意,虽有时需反复扩张,但仅靠经口进食即可。3例失败病例中,1例因口咽肌蠕动丧失,第2例因瘢痕挛缩进展,第3例因心理因素及缺乏必要的主动配合。

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