论文部分内容阅读
Bakamjian(1973)回顾了全咽喉切除后修补的各种手术方法,但所有这些方法的发病率都比喉切除(包括部分或次全咽切除)后早期闭合残存咽粘膜的方法高。因此,勿需作粘膜边缘切除也能充分保存咽粘膜,以便能在细小的鼻饲管进行缝合。 Kanger (1979)指出,能提供鼻饲管周围缝合而保留的咽粘膜,其最起码的宽度为7～8mm。而本方法粘膜的保留还窄得多。手术方法:将喉部周围软组织连同一侧甲状腺一并切除,再估计肿瘤范围并保存一小段残存的咽粘膜,但不要切除完好的粘膜边缘,然后自上而下切除喉及肿瘤,并保留残存咽粘
Bakamjian (1973) reviewed various surgical methods for repair after total laryngectomy, but all of these methods had a higher incidence than the method of closing the remaining pharyngeal mucosa early after laryngectomy (including partial or subtotal pharyngectomy). Therefore, it is not necessary to perform resection of the mucosal margin but also to fully preserve the pharyngeal mucosa so that it can be sutured in a fine nasal feeding tube. Kanger (1979) pointed out that the pharyngeal mucosa that can be preserved around the nasal feeding tube can be provided with a minimum width of 7-8 mm. The retention of mucosa in this method is much narrower. Surgical methods: The soft tissue around the larynx is removed together with the thyroid gland on one side. The tumor area is then estimated and a small section of the remaining pharyngeal mucosa is preserved. However, the intact mucosal margin is not to be removed. The larynx and the tumor are then removed from the top to the bottom and the remaining remains. Pharyngeal adhesion