摘要
32例侵及食管近端或下咽部的高位颈段食管癌手术切除后,根据切除范围选择不同的自身空腔脏器,包括全胃、结肠或各种转移皮瓣以及自体喉与气管组织重建消化道。术后94%的患者恢复了良好的吞咽功能,81.2%患者同时保留了正常发声功能。对各种术式的选择、手术要点和注意事项等进行了讨论。
Thirtytwo high position cervical esophageal carcinoma cases(Lowpharynx infiltrated or carcinoma at proximal esophageal end)were treated.According to the ranges of resection.different automaterials such as stomach,colon,rotating skin flaps,autolarynx and trachea were used to reconstruct the digestive tract.94% patients regained good swallowing functions 81.2% patients remained phonatory function at the same time.The selection of reconstruction patterns,key operation procedures were discussed.
出处
《山东医科大学学报》
1997年第4期336-337,共2页
Acta Academiae Medicinae Shandong
关键词
食管肿瘤
外科手术
Esophageal Neoplasms
Digestive tract reconstruction
Thoracic surgery