颈阔肌皮瓣修复颈段食管癌术后缺损1例  

One case of esophageal carcinoma defec after operation for repair with platysma myocutaneous flap

作　　者：齐志勇 张治平 呼和牧仁 

机构地区：[1]呼伦贝尔市人民医院耳鼻咽喉科,呼伦贝尔021008

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第6期567-568,共2页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：1病例报告患者,男,71岁,于2008年因下咽癌（T3N1M0）行全喉及下咽部分切除术,双侧颈淋巴结清扫术,术后咽瘘,换药1个月后咽瘘愈合,在当地医院行局部放疗,进食正常。2012年出现进食困难,在北京某肿瘤医院检查考虑颈段食道瘢痕狭窄,遂在胃镜下行食道探条扩张术,进食困难略缓解,1个月后再次进食梗阻,收入院。颈部增强CT（图1、2）显示：C6~C7水平,食管壁不规则增厚,Cervical esophageal carcinoma is rare,the lack of early clinical manifestations,early diagnosis is difficult,easily missed or misdiagnosed,especially at present for the method of repairing defect of cervical esophagus cancer after operation.In many mainstream,the repair methods with free jejunum,gastric pull up,and anterolateral thigh flap freeforearm flap.We used the platysma skin flap to repair of cervical esophagus defect which is worthy of reference,report as follows now.

关 键 词：颈段食管癌 缺损 颈阔肌皮瓣 修复 

分 类 号：R735.1[医药卫生—肿瘤]