摘要
目的 探讨全喉切除手术后咽瘘发生的原因。方法 回顾性分析 10 6例行全喉切除手术患者的临床资料。结果 10 6例患者中有 2 4例 (2 2 .6% )发生术后咽瘘 ,术前放疗、术后抗生素的选择、术后血红蛋白值和肿瘤病理类型与咽瘘发生有关。结论 全喉切除术患者应根据营养状况及术中出血情况决定是否输血 ;术后合理应用抗生素 ;对于晚期肿瘤患者 。
Objective To explore the related factors to pharyngocutaneous fistula after total laryngectomy.Methods A retrospective study of 106 patients who underwent total laryngectomy was made.Results The rate of postoperative pharyngcutaneous fistula was 22.6%(24/106).The related factors were preoperative radiotherapy,the selective application of antibiotic after operationand the low postoperative blood hemoglobin.Conclusion The keys to avoid postoperativepharyngocutaneous fistula include intraoperative blood transfusion according to the patient′s general conditions and blood loss,reasonable postoperative application of antibiotic and planned preoperative radiotherapy for advanced tumor.
出处
《实用癌症杂志》
2003年第4期411-413,416,共4页
The Practical Journal of Cancer
关键词
喉肿瘤
全喉切除术
咽瘘
输血治疗
抗生素
术前放疗
Laryngeal neoplasm
Hypopharyngea neoplasm
Total laryngectomy
Pharyngocutaneous fistula
