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应用气管食管造瘘术为全喉切除病人施发音功能重建,恢复病人的语言功能,多年来,经许多学者的研究和改进,较满意地解决了误吸和狭窄两大难题,临床已逐步推广应用,在一些基层医院也相继开展了发音重建术。我科参照李树玲法,开展气管食管瘘粘膜瓣发音重建术,获得良好效果,现报告如下。 1 手术要点:完成全喉切除后,切开气管前壁三个环向两侧横行切开,在气管后壁作边长
Application of tracheal esophageal ostomy for total laryngectomy patients with tone function reconstruction to restore the patient’s language function over the years, many scholars of research and improvement, more satisfactory solution to the two major problems of aspiration and stenosis, the clinical has been gradually promoted Application, in some primary hospitals have also carried out pronunciation reconstruction. Our department reference Li Shuling law, to carry out tracheal esophageal fistula mucosal flap pronunciation reconstruction, get good results, are as follows. 1 surgical points: After the completion of total laryngectomy, cut open the anterior three sides of the anterior trachea transverse incision, the trachea for the side wall length