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全喉切除后常用人工或电子喉、食管音等方法恢复语言,但效果不够理想。近年来国外用Blom-Singer发音管,效果较好。为推进国内无喉患者的语言重建工作,而开展本研究。 材料与方法 1988年5月至1989年2月经气-食管造瘘术,用单向瓣膜发音管为10例男性全喉切除患者重建语言。2例经食管膏训练失败。年龄50～75岁。全喉切除时造瘘者(Ⅰ期手术)3例。全喉切除半年至5年后施术者(Ⅱ期手术)7例。用Blom-Singer发音管4例,用国产发音管6例。接受治疗者系有语言重建愿望,肺部无明显病变;无肿瘤残存、复发或转移;气管造口宽、已除套管;咽食管段扩张良好的病例。为了解咽食管段扩张状况,Ⅱ期手术者术前行食管充气试验:将由造口呼出之气流,以橡皮
After the total laryngectomy, the artificial language, electronic throat, and esophageal sound are commonly used to recover the language, but the effect is not ideal. In recent years, the use of Blom-Singer sound tube abroad has been effective. This study was conducted in order to promote the reconstruction of the language of non-throat patients in China. Materials and Methods From May 1988 to February 1989, gaso-esophageal fistula surgery was used to reconstruct the language of 10 men with total laryngectomy. Two patients failed to undergo esophageal cream training. Age 50 to 75 years old. During the total laryngectomy, there were 3 cases of fistulas (phase I surgery). Total laryngectomy was performed in 7 patients after half to 5 years after surgery (stage II surgery). Four cases of Blom-Singer sound tube were used, and 6 cases of domestic sound tube were used. Those who received treatment had a desire for language reconstruction, no lung lesions, no residual tumors, recurrence or metastasis, wide tracheostomy, unsleeved cannulae, and good expansion of the pharyngoesophageal segment. To understand the pharyngeal esophageal dilatation, the preoperative esophageal inflation test for stage II surgery: the air flow exhaled through the stoma is erased.