摘要
目的:探讨有效治疗食管入口周围严重狭窄的手术方法。方法:对2000-2009年完成的23例食管入口周围严重狭窄的患者进行回顾性分析,根据病情分别采用不同的治疗手段。对伴有下咽狭窄者,采用食管扩张、局部黏膜成形、胸大肌肌皮瓣、结肠上徙、空肠移植等方法整复;对伴有喉狭窄者,采用胸骨舌骨肌肌筋膜、会厌下拉、胸锁乳突肌锁骨衣等方法整复。结果:22例恢复正常饮食,1例失败,21例拔除气管套管。经1~9年的随访,未发生再狭窄,手术效果稳固。结论:对食管入口处严重狭窄的患者根据病情采取合理的手术方法,疗效良好。
Objective:To evaluate the surgical management for the severe stenosis of peripheral esophageal access.Method:Twenty-three patients who underwent severe stenosis of peripheral esophageal access from 2000 to 2009,were retrospectively reviewed.The surgical plan was selected by considering the stage of stenosis,dilatation,reconstruction of hypopharynx、oesophagus or larynx.Result:Twenty-two patients resumed a normal oral diet and 21 cases succeeded in decannulation,no stenosis recurred after a 1-9 years follow-up.Conclusion:The severe stenosis of peripheral esophageal access can get good results when the appropriate surgical plan were choiced.
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
CSCD
北大核心
2010年第21期972-974,共3页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
食管狭窄
咽狭窄
喉狭窄
食管成形术
外科皮瓣
esophageal stenosis
pharyngeal stenosis
laryngeal stenosis
esophagoplasty
surgical flaps