晚期喉咽鳞癌切除用带蒂喉-喉咽复合瓣修复喉咽缺损的手术价值  

Investigation on Operative Value of Hypopharyngeal Defect Reconstruction with Pedicled Laryn-hypopharyngeal Composite Flap in Advanced Hypopharynx Cancer Resection

作　　者：李晓晓[1] 廖海星[1] 方红雁[1] 李劲松[1] 

机构地区：[1]重庆市第三人民医院,重庆400014

出　　处：《河北医学》2016年第3期400-402,共3页Hebei Medicine

基　　金：重庆市卫计委医学科研项目;(编号:2011-3-222)

摘　　要：目的：探讨晚期喉咽鳞癌切除用带蒂喉-喉咽复合瓣修复喉咽缺损的手术价值。方法：对12例晚期用带蒂喉-喉咽复合瓣修复喉咽缺损的喉咽癌手术病人的有关临床资料进行病例回顾性分析。T3N0M0 4例,T3N1M0 5例,T4N1-2M0 3例。2例行术前术后放疗,10例行术后放疗,术前化疗1例,术后化疗3例。结果：Kaplan-Meier法统计2-5年生存率,2年生存率75%,3年生存率64%,5年生存率40%,无1例咽瘘,除1例放疗期间出现短暂吞咽梗阻,所有病人无吞咽梗阻。5年喉咽局部复发率为25%。结论：带蒂喉-喉咽复合瓣的正确应用是晚期喉咽癌切除修复的简单而有效的方法。Objective： To investigate the operative value of hypopharyngeal defect reconstruction with pedicle laryn-hypopharyhgral compsite flap in advanced hypepharynx cancer resection. Method： The clinical data of 12 cases with advanced hypopharyngeal carcinoma were retrospectively studies,in hypopharyngeal defect reconstruction by pedicled Laryn-hypopharyngal composite flap,All cases from 2005 to 2010 are male,from 43 to 71 years old,with radiotherapy of 60-70 Gy. The patients consisted of 4 cases of T3N0M0,5cases of T3N1M0,and 3 cases of T4N1-2M0. Result： By Kaplan-Meier survial analysis,the 2-year,3-year,and 5-year survival rates were 75%,64% and 40% respectively. No one experienced pharyngocutaneous fistula and dysphagia except that 1 case had short dysphagia obstruction during. 5-year local recurrent rate is 25% in hypopharynx. Conclusion： The proper appclication of peclicles largn-hypopharyngal compsite flap is a plain and effective way to reconstruct.

关 键 词：下咽肿瘤 下咽缺损 修复术 带蒂喉-喉咽复合瓣 

分 类 号：R739.6[医药卫生—肿瘤]