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目的 :晚期下咽癌切除后重建下咽和食管上段缺损。方法 :下咽癌切除后 ,将缺损下方与上方黏膜尽量吻合 ,缺损处置医用硅橡胶双壶腹进行重建。结果 :3例下咽癌患者术后均顺利拔除双壶腹管 ,恢复吞咽功能及正常饮食 ,2例患者分别随访 2a和 1a2mon均无并发症及肿瘤复发 ,1例术后 8mon死于肺转移。结论 :此法对晚期下咽癌患者 ,下咽及颈段食管缺损 10cm以内者适应。此手术创伤小 ,手术操作不复杂 ,明显缩短手术时间 ,可以防止该部位痛恨痕性狭窄及咽瘘形成
Objective: To reconstruct hypopharynx and upper esophageal defect after resection of advanced hypopharyngeal carcinoma. Methods: After the removal of hypopharyngeal carcinoma, the defect below the mucosa as far as possible with the top coincide, the defect disposal of medical silicone double ampulla for reconstruction. Results: Three patients with hypopharyngeal carcinoma were successfully removed double ampulla and recovered their swallowing function and normal diet. No complications and tumor recurrence were observed in 2 patients and 2a and 1a2mon respectively. One patient died of pulmonary metastasis after 8 months . Conclusion: This method is suitable for patients with advanced hypopharyngeal carcinoma, pharyngeal and cervical esophageal defects within 10cm. This small surgical trauma, surgical operation is not complicated, significantly shorten the operation time, can prevent the site hate stenosis and pharyngeal fistula formation