全喉切除“X”型气管造口成形术  

“X” Shape Tracheostomy Following Total Laryngectomy

作　　者：余济春[1] 闵翔[1] 龙平[1] 朱亲耀[1] 文三立[1] 

机构地区：[1]江西医学院第一附属医院耳鼻喉-头颈外科,江西南昌330006

出　　处：《江西医学院学报》2003年第5期21-23,共3页Acta Academiae Medicinae Jiangxi

摘　　要：目的　介绍一种新的全喉切除气管造口成形术。方法　 11例患者全喉切除后在造口区皮肤做“X”型切口 ,再在气管环断端另切四个小纵切口 ,将气管断端与皮肤交错缝合完成造口成形术。结果　所有患者均不带管 ,无呼吸困难 ,生活质量显著改善。结论　“X”型气管造口成形完全能避免造口狭窄的发生。Objective To introduce a new surgical technique in tracheostomy following total laryngectomy.Methods A“X” form incision on the skin of tracheostomal site was made after total laryngectomy and four more vertical incision was performed in the circumference of the end of trachea.Then a cross-suturing procede was done to finish the tracheostomy.Results 11 patients received this new tracheostomy following total laryngectomy instantly.All of them lived without metal stent.No dyspnea was found and their qualities of lives were dramatically improved.Conclusion The “X” shape tracheostomy following total laryngectomy can sufficiently avoid tracheostomal stenosis(TSS).

关 键 词：全喉切除术 X型气管造口成形术 气管造口狭窄 手术方法 术后护理 

分 类 号：R767.91[医药卫生—耳鼻咽喉科]