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作者介绍咽及颈段食管癌肿切除后用自体空肠移植Ⅰ期重建咽食管18例之经验。术后发生咽瘘6例,严重的并发症亦有6例,包括腹内出血,颈部出血,移植物坏死及一例术后死亡。术后平均生存427天(120~866天)。10例死于原发病变,4例死于其他原因。5例局部病变复发,5例有远处转移。空肠移植Ⅰ期修复全咽喉及颈段食管切除之缺损是一种很好的重建方法,术后吞咽功能恢复得很好;但其成
The author describes the experience of 18 cases of reconstructing the pharyngoesophageal tube with autologous jejunal autograft after resection of pharynx and cervical esophageal cancer. Postoperative pharyngeal spasm occurred in 6 cases. There were also 6 serious complications, including intra-abdominal hemorrhage, neck hemorrhage, graft necrosis and one postoperative death. The average survival was 427 days (120-866 days). 10 cases died of primary lesions and 4 cases died of other causes. Five patients had recurrence of local lesions and 5 patients had distant metastases. The jejunal autograft is a good method to repair the defect of esophageal resection of the entire throat and neck in stage I. The postoperative swallowing function recovers well; but