游离股前外侧皮瓣在下咽及颈段食管肿瘤切除后组织缺损修复中的应用

Reconstruction with the anterolateral thigh flap interposition for defect after tumor resection of hypopharyngeal and cervical esophageal cancer

目的:探讨游离股前外侧皮瓣修复下咽及颈段食管肿瘤切除后组织缺损的方法和疗效。方法:对2例以游离股前外侧皮瓣修复肿瘤切除术后下咽及颈段食管组织缺损患者的临床资料进行回顾性分析。结果:2例患者均进行了下咽及颈段食管切除和重建,无围手术期死亡及皮瓣坏死;无术后咽瘘及食管狭窄发生;术后患者吞咽功能满意,均能进普食,并有较好的食管发声;分别随诊16及41个月,均无瘤生存。结论:游离股前外侧皮瓣修复下咽及颈段食管肿瘤切除术后缺损,成功率高,并发症少,功能恢复理想,是下咽及颈段食管组织缺损修复的理想皮瓣之一。

Objective：To evaluate the effectiveness of the anterolateral thigh flap in reconstruction for the tissue defects of hypopharyngeal and cervical esophageal tumor resection. Method： Retrospective review of two clinical cases who underwent pharyngoesophageal reconstruction with the anterolateral thigh flap after tumor ablation. Resuit：No flap failure, fistula and stricture occurred in two patients. Two patients tolerated a regular diet. An esophageal voice was progressively acquired with the help of speech therapy. With followup for 16 and 41 months two patients were alive without tumor evolution. Conclusion：The higher success rate, lower complication, quick recovery, made the anterolateral thigh flap interposition is the ideal choice for pharyngoesophageal reconstruction.