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我院1973年～1988年施行喉全切除术和喉部分切除术68例,并发咽瘘9例11次。其病因和治疗分析如下。1 临床资料1.1 一般资料本组9例患者中,男6例,女3例。43～59岁。均为喉恶性肿瘤。喉全切除6例,喉部分切除3例。6例术前作气管切开、2例术前放疗,术后均发生咽瘘。发生咽瘘的时间是术后5～15天不等。1.2 治疗除用药物控制感染和加强营养外,①7例小咽瘘(瘘孔面积3 cm~2 以下)。分次清除坏死组织和线头,冲洗瘘腔。用浸有优苏儿、灭滴灵、碘仿和氯霉素等
In our hospital from 1973 to 1988, total laryngectomy and partial laryngectomy were performed in 68 cases. There were 9 cases of pharyngeal fistula in 11 cases. The etiology and treatment analysis are as follows. 1 Clinical data 1.1 General information In this group of 9 patients, 6 males and 3 females. 43 to 59 years old. All are laryngeal malignancies. Total laryngectomy was performed in 6 cases and partial laryngectomy in 3 cases. Six patients underwent preoperative tracheotomy and 2 patients received preoperative radiotherapy. Postoperative pharyngeal fistula occurred. The time to pharyngeal spasm is 5 to 15 days after surgery. 1.2 Treatment In addition to the use of drugs to control infection and enhance nutrition, 17 cases of small pharyngeal fistula (area with a sacral area of 3 cm-2 or less). Gradually remove necrotic tissue and thread ends and rinse the cavity. Utilized with USO, metronidazole, iodoform, chloramphenicol, etc.