摘要
对７例梨状窝癌病人施行半咽半喉切除术及根治性颈淋巴结廓清术，用对侧半喉及残余下咽粘膜重建下咽。本组病人无一例发生感染和咽瘘形成，全部一期愈合。术后１２～１５天拔出鼻饲管，均能吞咽固体食物，随访病人生存３年以上者２例（２／７），生存２年以上者５例（５／７）。另外２例中，１例于术后６个月死于放疗后继发肺炎，另１例死于术后１９个月局部肿瘤复发。认为梨状窝癌切除后，如下咽后壁残留粘膜带，利用对侧半喉修复下咽的方法是可取的，优点是有良好的血液供应，可避免局部组织坏死，创口愈合率高。
Abstract Seven pyriform sinus carcinoma patients were treated with hemilaryn- gopharyngectomy and radical neck dissection. The contralateral hemilarynx and residual hypopharyngeal mucosa were used for hypopharynx reconstruction. All of them healed in one stage. All could takse solid food after the nasogastric tubes were removed on 12 to 15 days post-operatively. Three years survival rate was 2/7,and 2 years survival rate was 5/7.We believe that the advantage of the reconstruction of hypopharynx with residual posterior hypopharyngeal mucosa and contralateral hemilarynx is the sufficient blood supply which can improve wound healing and avoid local necrosis
出处
《耳鼻咽喉（头颈外科）》
1994年第1期41-43,共3页
Chinese Arch Otolaryngology-Head Neck Surg
