颏下瓣修复不保留喉功能的下咽癌术后近环周缺损的疗效  

Therapeutic effect of submental flap in repairing of approaching circumferential defects after hypopharyngeal cancer ablation with laryngeal function unpreserved

作　　者：叶飞[1,2] 傅敏仪[1,2] 陈国平[1,2] 徐建慧[1,2] 康红健[1,2] 

机构地区：[1]中山大学附属中山医院 [2]中山市人民医院耳鼻咽喉头颈外科,广东中山528403

出　　处：《临床耳鼻咽喉头颈外科杂志》2015年第7期600-602,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的：探讨应用颏下皮瓣修复不保留喉功能的下咽癌术后近环周缺损的疗效。方法：所有患者均行不保留喉功能的下咽癌根治术,术中同期行颏下瓣修复下咽黏膜缺损。结果：术后13例皮瓣全部成活,吞咽功能恢复良好,其中2例术后出现咽瘘。随访6~42个月,3例术后颈部淋巴结复发,无下咽局部复发者。7例随访3年以上,存活3例。结论：修复不保留喉功能的下咽癌术后近环周缺损,颏下瓣具有位置邻近、安全、简便、成功率高等优点,是适宜的下咽缺损修复材料。Objective：To study the effectiveness of repairing nearly circumferential defect with the submental flaps after resection of laryngeal function unpreserved hypopharyngeal cancer.Method：All the cases were treated with the submental flaps after resection of hypopharyngeal cancer with laryngeal function unpreserved.Result：All13flaps were alive.Hypopharyngeal fistula occurred in 2cases.All patients had normal swallowing function.The patients were followed up 6-42 months.Of 13 cases,3had recurrence at neck Lymph node,but no local hypopharyngeal recurrence was found.Seven cases were followed up more than 3years,and only 3of them survived.Conclusion：Submental flap is an ideal tissue flap submental flap in repairing of approaching circumferential defects after hypopharyngeal cancer ablation with laryngeal function unpreserved for the repairment of after approaching circumferential defects after hypopharyngeal cancer ablation with laryngeal function unpreserved,For it is close to the defect region,safe,easy-to-obtain and easy-to-survive.

关 键 词：下咽肿瘤 下咽缺损 颏下瓣 修复外科手术 

分 类 号：R739.63[医药卫生—肿瘤]