全喉切除术并发咽瘘的原因及防治  

The Causes,Prevention and Treatment of Pharyngeal Fistula after Total Laryngectomy

作　　者：汤凌浩[1] 于维颖[2] 崔万明[1] 洪岭[1] 

机构地区：[1]大连医科大学附属第一医院耳鼻咽喉科,辽宁大连116011 [2]大连医科大学附属第一医院药剂科,辽宁大连116011

出　　处：《医学与哲学（B）》2012年第7期25-27,共3页Medicine & Philosophy(B)

摘　　要：分析全喉切除术后咽瘘发生的原因,讨论减少咽瘘的防治措施。对我院122例因喉癌行全喉切除术术后咽瘘患者的临床资料进行回顾性分析。结果全喉切除术患者122例,术后咽瘘12例(9.8%)。术前放疗患者26例,术后咽瘘7例(26.9%)。术前纠正危险因素、术中规范操作及术后细致地观察和护理可以降低咽瘘的发生率。To analyze the causes of pharyngeal fistula after total laryngectomy, discuss the prevention and treatment which decrease the incidence. To analysis retrospectively the clinical data of pharyngeal fistula in 122 patients who had been exe- cuted total laryngectomy because of laryngeal carcinoma. Pharyngeal fistula was occurred in 12 of 122 cases after total lar- yngectomy（incidence 9.8% ） and in 7 of 26 cases after total laryngectomy of preoperation radiotherapy （incidence 26.9%） Correcting the risk factors before the operation, operating standard during the operation, observing and nursing carefully after the operation, are able to reduce the occurrence of pharyngeal fistula.

关 键 词：咽瘘 外科手术 预防 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]