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本文总结了对19例喉癌患者行全喉切除术后井发咽瘘的治疗体会,并对咽瘘发生的原因及其防治措施进行了探讨,指出术前患者本身营养状况、是否放疗、术中下咽粘膜缝合方法、是否用抗生素冲洗术腔、术后抗生素使用得当与否等与咽瘘发生有密切关系。对咽瘘的治疗必须采取综合措施,多数咽瘘可以通过综合治疗获得愈合。
This article summarizes the treatment experience of 19 patients with laryngeal carcinoma who underwent a total laryngectomy with a pharyngeal fistula, and discussed the causes of pharyngeal fistula and the prevention and treatment measures. It was pointed out that the preoperative patients’ nutritional status, whether they were treated with radiotherapy or not. The method of suturing the middle and lower pharyngeal mucosa, whether or not to use an antibiotic flushing cavity, proper use of postoperative antibiotics or the like are closely related to the occurrence of pharyngeal fistula. The treatment of pharyngeal fistula must take comprehensive measures, and most pharyngeal fistulas can be healed through comprehensive treatment.