一期胃代下咽、食道治疗下咽、颈段食道癌术后并发症的探讨  

Complication of the one-stage esophagus replacement with stomach for curing hypopharyngea neoplasms and cervical esophageal neoplasms

作　　者：张文继[1] 张琨龄[1] 方平[1] 杨建明 于在诚[2] 杨小平[3] 徐美青[4] 

机构地区：[1]安徽医科大学附属医院耳鼻咽喉科,合肥230022 [2]安徽医科大学附属医院胸外科 [3]安徽医科大学附属医院手术室 [4]安徽省立医院胸外科

出　　处：《中国中西医结合耳鼻咽喉科杂志》1999年第2期75-77,共3页Chinese Journal of Otorhinolaryngology in Integrative Medicine

摘　　要：目的探讨一期胃代下咽、食道治疗下咽、颈段食道癌术后并发症的原因和防止方法。方法对我院1993年10月至1996年2月收治的38例一期胃代下咽、食道治疗下咽、颈段食道癌手术的病人进行回顾性的分析。结果术后发生各类并发症10例，其中咽瘘3例（7．89％），吻合口狭窄2例（5．26％），反流1例（2．63％），胸腔积气、积液2例（5．26％），喉返神经麻痹1例（2．63％），肺部粟粒样肿瘤转移1例（2．63％）。结论术前做好充分思想准备、术中操作仔细与术后加强营养及护理是防止或减少并发症的主要措施。Objective To study the cause of the complications of the one-stage esophagus replacement with stomach for curing hypopharyngeal neoplasms and cervical esophageal neoplasms and to discuss its prophylaxis and treatment. methods 38 cases of hypo pharyngeal neoplasms and cervlcal esophageal neoplasms cured by esophagus replacement with stomach from Oct. 1993 to Feb. 1996, were restrospectively studied.Results The oldest one was 69 and the youngest was 34 years old ,There were 10 cases with various complications after operation: 3 cases with pharyngo-fistula (7. 89% ), 2cases with anastomosis stricture anastomosis (5. 26% ),1 case with reflus (2.63 % ), 2 cases with pneumohydrothOrax (5.26 %), 1 case with recurrent larnygeal neuroparalysis (2. 63% ), 1 case with miliary matastasis to lung (2. 63% ). Conclution It suggests that the operation should be performed carefully with comprehensive preoperative preparations postoperative nutrition and nursing.

关 键 词：下咽肿瘤 颈段 食道肿瘤 外科手术 并发症 修复 

分 类 号：R739.630.5[医药卫生—肿瘤] R735.105[医药卫生—临床医学]