双蒂带状肌筋膜甲状软骨外膜瓣在下咽癌术后修复中的应用  

The application of bi-pedical strap muscular flap and thyroid cartilage perichondrium flap for rehabilitation of hypopharyngeal defects following hypopharyngeal carcinoma removal

作　　者：牛开元[1] 刘业海[1] 陈文文[1] 吴开乐[1] 赵益[1] 高潮兵[1] 吴静[1] 陆地红[1] 

机构地区：[1]安徽医科大学第一附属医院耳鼻咽喉头颈外科,合肥230022

出　　处：《安徽医科大学学报》2013年第3期309-311,共3页Acta Universitatis Medicinalis Anhui

摘　　要：回顾性分析采用双蒂颈前带状肌筋膜甲状软骨外膜瓣修复36例下咽癌术后组织缺损的临床资料。8例术后并发咽瘘,后成功治愈;14例术后2～3周内恢复了吞咽功能;16例行喉功能保留手术患者恢复发音功能,能进行日常语言交流;2例因严重呛咳不能拔管,根据Kaplan-Meier法计算出3、5年生存率分别为48.5%、22.2%。双蒂颈前带状肌筋膜甲状软骨外膜瓣操作简单,取材方便,是一种比较理想的修复下咽癌术后组织缺损的材料。A retrospective analysis of 36 cases of hypopharyngeal defects after hypopharyngeal carcinoma removal that were reconstructed by bi-pedical strap muscular flap and thyroid cartilage perichondrium flap, Eight cases of pharyngeal fistula restored swallowing function at last. 14 cases restored swallowing function post-operation within 2 3 weeks. 16 cases that received preservation of laryngeal function operation retored pronunciation function and had the ability of communication. 2 cases could not breath without tracheostomy tube due to abnormal cough. According to the Kaplan-Meier method to calculate, the 3-year and 5-year survival rates were 48.5% and 22.2%. The bi-pedical strap muscular flap and thyroid cartilage perichonrium flap were simple to operate and easy to obtain. Meanwhile they were more satisfactory postoperative materials for restoring hypopharyngeal carcinoma tissue defects.

关 键 词：下咽肿瘤 外科皮瓣 生存率 

分 类 号：R739.63[医药卫生—肿瘤]