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目的 :探讨晚期下咽癌手术切除后 ,利用残余喉组织重建下咽的手术方法。方法 :总结 1990至1996年 7例晚期下咽癌患者的临床资料。结果 :实行广泛手术切除 ,以残存喉组织重建下咽腔 ,7例患者一期愈合 ,无咽瘘等并发症 ,1年生存 6例 ,3年生存 3例 ,5年生存 1例。结论 :利用残存喉组织重建下咽 ,方法相对简便 ,患者损伤小 ,手术在同一视野中完成 ,残存喉组织血供良好 ,有利于减少术后并发症的发生
Objective: To explore the surgical treatment of advanced hypopharyngeal carcinoma after surgical removal of residual laryngeal tissue. Methods: The clinical data of 7 patients with hypopharyngeal carcinoma from 1990 to 1996 were summarized. Results: A wide range of surgical resections were performed, and the inferior pharyngeal cavity was reconstructed with remnant laryngeal tissue. Seven patients had primary healed without pharyngolaryngeal complications such as 6 cases in 1 year, 3 years in 3 cases and 1 case in 5 years. Conclusion: It is relatively simple to reconstruct the pharyngeal pharynx with remnant laryngeal tissue. The patient’s injury is small and the operation is done in the same field of vision. The residual laryngeal tissue blood supply is good, which is helpful to reduce the incidence of postoperative complications