| 非开胸胃代食管术治疗同时性下咽并胸段食管重复癌5例 |
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| 引用本文： | 高兴强,赵德安,方正,于修义.非开胸胃代食管术治疗同时性下咽并胸段食管重复癌5例[J].山东医大基础医学院学报,2009(2):24-26. |
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| 作者姓名： | 高兴强 赵德安 方正 于修义 |
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| 作者单位： | 福建医科大学附属厦门第一医院耳鼻咽喉头颈外科;福建医科大学附属厦门第一医院胸外科; |
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| 摘 要： | 目的探讨非开胸胃代食管术治疗同时性下咽并胸段食管重复癌的方法和疗效。方法对5例同时性下咽并胸段食管重复癌患者,均行非开胸食管内翻拔脱胃上徙术。喉功能保留3例,其中1例下咽后壁癌患者因胃上徙高度不够,采用前臂桡侧游离皮瓣修复下咽及颈段食管;全喉切除2例。结果5例吞咽功能全部恢复,无吞咽困难发生。1例发生咽瘘,经保守治疗痊愈。3例保留喉者均有不同程度呛咳症状。3例保留喉功能者术后全部拔管,发音质量良好。随访1～4年,1年生存率100%（5/5）,3年生存率60%（3/5）。结论提高对同时性下咽并胸段食管重复癌的认识,采用非开胸胃代食管术治疗,优越性为成功率高、并发症较少,是一个较理想的手术方法。
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| 关 键 词： | 下咽癌 食管癌 重复癌 胃代食管术 |
Substituting the esophagus with the stomach without thoracotomy in the treatment of hypopharynx and thoracic segment esophagus synchronous multiple primary carcinoma:a clinical analysis of 5 cases |
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| GAO Xing-qiang,ZHAO De-an,FANG Zheng,YU Xiu-yi.Substituting the esophagus with the stomach without thoracotomy in the treatment of hypopharynx and thoracic segment esophagus synchronous multiple primary carcinoma:a clinical analysis of 5 cases[J].Journal of Preclinical Medicine College of Shandong Medical University,2009(2):24-26. |
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| Authors: | GAO Xing-qiang ZHAO De-an FANG Zheng YU Xiu-yi |
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| Institution: | 1.Departent of Otolaryngology-Head & Neck surgery;2.Department of Thoracic-cardiac Surgery;Xiamen First Hospital Affiliated to Fujian Medical College;Xiamen 361003;China |
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| Abstract: | Objective To study the feasibility and effect of substituting the esophagus with the stomach without thoracotomy in the treatment of hypopharynx and thoracic segment esophagus synchronous multiple primary carcinoma.Methods Five patients with hypopharynx and thoracic segment esophagus synchronous multiple primary carcinoma who had undergone esophageal stripping without thoracotomy and gastropharyngostomy were retrospectively studied.The larynx remained in 3 cases and total laryngectomy was performed on 2 cas... |
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| Keywords: | Hypopharyngeal carcinoma Esophageal carcinoma Synchronous multiple primary carcinoma Gastric transposition |
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