喉气管复合组织瓣修复下咽颈段食管缺损（附12例报告）

目的 :探讨下咽颈段食管癌手术后组织缺损的修复方法。方法 :1 2例下咽、颈段食管癌行部分喉、下咽、颈段食管切除术后 ,应用健侧无软骨的喉气管复合组织瓣修复下咽和颈段食管缺损。结果 :1 0例患者切口一期愈合 ,2例切口感染并发咽瘘 ,1例术后 1年死于肺转移。 1 1例术后 1月内恢复了吞咽功能 ,另1例行二期咽瘘修补术 ,效果满意。经随访 1年、3年生存率分别为 91 6% (1 1 /1 2 )和 5 8 3 % (7/1 2 )。结论 :喉气管复合组织瓣修复下咽和颈段食管缺损手术创伤小 ,并发症少 ,易推广。

Reconstruction of hypopharynx and cervical esophagus using no-cartilaginous complex tissue petal of larynx and trachea

Objective:To investigate the surgical methods of reconstruction on the patients suffering from cancer of hypopharynx and cervical esophagus. Method:No-cartilaginous complex tissue petal of larynx and trachea were applied to repair the deficient of hypopharynx and cervical esophagus in 12 cases after removed tumor.Result:Ten cases recovered postoperatively while two suffered from wound infection and skin fistula.One died of a metastatic lung cancer after one year .11 patients resumed normal oral feeding within one month after operation.The one and three years' survival rates were 91.6%(11/12) and 58.3%(7/12).Conclusion:Using no-cartilaginous complex tissue petal of larynx and trachea to repaire the deficient of hypopharynx and cervical esophagus not only improve local cancer control,but also rebuild hypopharynx physiologic function.