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[咽切除术后咽的重建]

[Reconstruction of the pharynx after pharyngectomy].

作者信息

Stell P M

出版信息

Acta Otorhinolaryngol Belg. 1975;29(5):849-54.

PMID:773094
Abstract

Forty-five patients in whom a pharyngo-laryngectomy was carried out are described; in 21, the pharynx was reconstructed by gastric transposition and in 24 by primary reconstruction with a medially based cased flap. Minor complications, such as stenosis and fistulae occurred more often after the skin flap operation and the stay of the patient in hospital in this group was considerably longer compared to those patients having the pharyngeal replacement with the transposed stomach. However, the two year survival after skin flap reconstruction was 50% as against only 10% after reconstruction with the stomach.

摘要

本文描述了45例行咽喉切除术的患者;其中21例采用胃移位重建咽部,24例采用带蒂中厚皮瓣一期重建咽部。皮瓣手术后出现诸如狭窄和瘘管等轻微并发症的情况更为常见,与采用移位胃进行咽部替代的患者相比,该组患者的住院时间要长得多。然而,皮瓣重建术后的两年生存率为50%,而胃重建术后仅为10%。

相似文献

1
[Reconstruction of the pharynx after pharyngectomy].[咽切除术后咽的重建]
Acta Otorhinolaryngol Belg. 1975;29(5):849-54.
2
Visceral replacement after laryngo-pharyngectomy.喉咽切除术后的脏器替代
J Laryngol Otol. 1971 Dec;85(12):1218-21.
3
Immediate pharyngeal repair after pharyngo-laryngectomy using the medially based chest flap.采用内侧蒂胸壁皮瓣在喉咽切除术后即刻进行咽修复。
J Laryngol Otol. 1970 Nov;84(11):1113-22. doi: 10.1017/s0022215100156518.
4
Replacement of the pharynx after pharyngolaryngectomy.喉咽切除术后咽的重建。
Ann R Coll Surg Engl. 1984 Nov;66(6):388-90.
5
[Pharyngolaryngectomy procedure with pedicled gastric graft].带蒂胃移植喉咽切除术
Acta Otorhinolaryngol Belg. 1968;22(7):771-2.
6
Reconstruction after pharyngolaryngo-oesophagectomy using delto-pectoral flap.使用三角胸肌皮瓣进行下咽-喉-食管切除术后重建。
Clin Otolaryngol Allied Sci. 1979 Feb;4(1):5-11. doi: 10.1111/j.1365-2273.1979.tb01747.x.
7
Problems of viscus replacement following pharyngo-laryngestomy.咽喉切除术后的脏器替代问题。
J Laryngol Otol. 1973 Jun;87(6):539-46. doi: 10.1017/s0022215100077276.
8
Total reconstruction of the hypopharynx with tongue flap and dermal graft.
Ann Otol Rhinol Laryngol. 1974 Jul-Aug;83(4):476-80. doi: 10.1177/000348947408300409.
9
[Laryngeal reconstruction after hemi-laryngo-pharyngectomy].[半喉咽切除术后的喉重建]
Rev Laryngol Otol Rhinol (Bord). 1972 Jan-Feb;93(1):88-93.
10
[Pharyngo-gastric anastomosis].
Zhonghua Er Bi Yan Hou Ke Za Zhi. 1993;28(1):47-8, 60.