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目的 :对喉癌、梨状窝癌行全喉切除术后早期经口进食进行可行性研究。方法 :42例行全喉切除术的患者 (其中喉癌 34例 ,梨状窝癌 8例 )随机分为两组 :观察组 2 1例 ,术后 48～ 72h经口进食 ;对照组 2 1例 ,按常规 10～ 12d经口进食。结果 :观察组咽瘘发生率为 4.8%(1/ 2 1) ,对照组为 9.5 %(2 / 2 1) ,两者差异无显著性意义(P >0 .0 5 ) ;观察组术后平均住院天数较对照组明显缩短。结论 :术前未行放疗的喉癌、梨状窝癌患者行全喉切除术后 48～ 72h经口进食是安全可行的。
Objective: To investigate the feasibility of early oral intake of laryngeal carcinoma and pyriform sinus carcinoma after total laryngectomy. Methods: Forty-two patients undergoing total laryngectomy (including 34 cases of laryngeal carcinoma and 8 cases of pyriform sinus cancer) were randomly divided into two groups: 21 cases in observation group and 48 to 72 hours after operation. Rats in control group 21 For example, according to conventional 10 ~ 12d oral intake. Results: The incidence of pharyngeal fistula in the observation group was 4.8% (1/2 1), while that of the control group was 9.5% (2/2 1). There was no significant difference between the two groups (P> 0.05) The average hospitalization days were significantly shorter than those in the control group. Conclusions: Laryngeal and laryngeal cancer patients undergoing preoperative laryngeal cancer without radiotherapy are safe and feasible for oral intake 48 to 72 hours after total laryngectomy.