局部岛状皮瓣在复杂咽瘘修复中的应用  被引量:2

Application of local island flap in complex pharyngocutaneous fistula

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作  者:左尔东 陈晓红[2] 周晶[2] ZUO Erdong;CHEN Xiaohong;ZHOU Jing(Department of Otolaryngology,Beijing Mentougou Hospital,Beijing,102300,China;Department of Otolaryngology Head and Neck Surgery,Beijing Tongren Hospital,Capital Medical University,Key Laboratory of Otolaryngology Head and Neck Surgery(Capital Medical University),Ministry of Education,Beijing,100730,China)

机构地区:[1]北京市门头沟区医院耳鼻咽喉科,首都医科大学门头沟教学医院,北京102300 [2]首都医科大学附属北京同仁医院耳鼻咽喉头颈外科,耳鼻咽喉头颈外科学教育部重点实验室(首都医科大学),北京100730

出  处:《中国耳鼻咽喉头颈外科》2021年第9期534-537,共4页Chinese Archives of Otolaryngology-Head and Neck Surgery

摘  要:目的分析局部岛状皮瓣修复复杂咽瘘的疗效和临床价值。方法回顾性分析2015年9月~2020年5月首都医科大学附属北京同仁医院11例咽瘘患者,共计12个局部岛状皮瓣修复复杂咽瘘缺损的病历资料,11例患者均为男性,年龄50~68岁,中位年龄63.5岁,颈部放疗史7例,局部皮瓣修复史2例,咽瘘病程1个月~3年,缺损范围1.0 cm×1.5 cm~5 cm×6 cm。随访时间4~20个月。结果Ⅰ期愈合7例,Ⅱ期愈合2例,咽瘘未愈合或复发3例。Ⅱ期愈合的患者在术后出现局部感染,局部吻合口形成瘘口,给予换药、清创缝合后愈合。结论局部岛状皮瓣适用于修复合并颈前皮肤软组织缺损的复杂咽瘘。OBJECTIVE To explore the feasibility and efficacy in the application of local island flap for the repair of complex pharyngocutaneous fistula.METHODSA retrospective analysis was performed 12 flaps of 11 patients treated with local island flap for complex pharyngocutaneous fistula from Beijing Tongren Hospital Affiliated to Capital Medical University from September 2015 to May 2020.The patients were all male,aged 50-68 years old.There are 7 cases had radiotherapy,2 cases repaired with local flap.The fistula duration was 1 months-3 years.Fistula size ranged from 1.0 cm×1.5 cm-5 cm×6 cm.All the patients had been followed up for 4 to 20 months postoperatively.RESULTSSeven patients recovered in stage I,2 patient recovered in stage II,3 patients fistula recurred.The flap of patient who recovered in stage Ⅱ had local infection,and the anastomotic stoma formed a fistula and healed after dressing change,debridement and suture.CONCLUSION Local island flap can be used to repair complex pharyngeal fistula with anterior cervical skin defect.

关 键 词:  外科皮瓣 修复外科手术 

分 类 号:R766.9[医药卫生—耳鼻咽喉科]

 

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