全喉切除术后咽瘘的治疗现状  

Current treatment of pharyngocutaneous fistula after total laryngectomy

作　　者：熊亚军 金日群[2] 刘芳[2] 彭韶平[2] 

机构地区：[1]赣南医学院,江西赣州341000 [2]赣南医学院第一附属医院耳鼻咽喉头颈外科

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第23期1858-1862,共5页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：咽瘘是咽喉部恶性肿瘤患者行全喉切除术后一种常见且严重的并发症。国内的相关报道发生率为8%~35%[1],国外为2%~35%[2]。术后一旦发生咽瘘,不仅会增加患者术后的恢复时间、住院时间、术后开始经口进食的时间及影响进一步的治疗,而且还会大大增加患者的精神、心理和经济负担,严重影响患者的生活质量。Pharyngocutaneous fistula is a common and serious complication after total laryngectomy,and it will seriously affect patients＇postoperative recovery.The treatment of pharyngeal fistula mainly include conservative and surgery therapy.The use of negative-pressure wound therapy and endoscopic technique to treat post laryngectomy pharyngocutaneous fistula also acquire good result in recent years.However,specific therapy options should be choose according to the type and size of the fistula,the patient＇s overall health condition and preoperative chemoradiotherapy etc.This article will give a review on the status of treatment of pharyngocutaneous fistula after total laryngectomy.

关 键 词：全喉切除术 咽瘘 治疗 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]