论文部分内容阅读
目的探讨以颈深筋膜修复中晚期喉、喉咽、颈段食管肿瘤术后的下咽、颈段食管缺损的可行性、技术操作和疗效。方法制备浅层颈深筋膜瓣,修复肿瘤术后下咽、颈段食管缺损。结果19例中,17例术后伤口Ⅰ期愈合,2例伤口感染,其中1例咽瘘。咽瘘率为5.27%。术后3～6个月复查,全部病例吞咽进食正常,下咽、食管无狭窄。结论用颈深筋膜浅层瓣修复下咽、颈段食管缺损是一种可行的修复方法,术后修复面光滑,上皮化好,吞咽功能恢复,值得临床应用。
Objective To investigate the feasibility, technical operation and curative effect of cervical deep fascia to repair hypopharyngeal and cervical esophageal defects after laryngeal, hypopharyngeal and cervical esophageal neoplasms. Methods The superficial cervical and deep fascia flap was prepared to repair the pharyngeal and cervical esophageal defects after operation. Results Of the 19 cases, 17 cases of wounds were healed in the first stage and 2 cases were infected with wounds, of which 1 case was pharyngeal fistula. Pharyngeal fistula rate was 5.27%. 3 to 6 months after the review, all patients swallow normal, swallow, esophageal stricture. Conclusion The treatment of hypopharyngeal and cervical esophageal defects with shallow cervical fascia flap is a feasible method of repair. The repaired surface is smooth, the epithelium is good and the swallowing function is restored, which is worthy of clinical application.