基于喉切除术后气管食管分流手术有成功的语言效果,一种Ⅰ期气管空肠分流手术被采用对晚期下咽癌行咽喉食管切除术和游离空肠重建术后病人发音重建。共对三个下咽癌病人施行了这种手术获得了较为满意的发音效果。就发音强度、频率和气流率等进行了测量。手术过程:咽喉食管切除术及颈扩清术后,移植一段10～14cm的带血管弓的近端空肠,空肠动脉与颈横动脉吻合;静脉与颈外静脉吻合在上段气管后壁做一个2×2cm的气管瓣,用作气管空肠流分结构。空肠与下咽和食管吻合好后,自气管瓣的中线位垂直切开一个长约 Based on the successful linguistic effect of tracheo-esophageal shunt surgery after laryngectomy, a stage I tracheal jejunal shunt was used to reconstruct the patient’s voice after advanced throat esophagectomy and free jejunal reconstruction in patients with advanced hypopharyngeal carcinoma. A total of three patients with hypopharyngeal cancer underwent this operation to obtain a more satisfactory pronunciation. The pronunciation intensity, frequency and air flow rate were measured. Surgical Procedures: After throat esophagectomy and neck dissection, a 10-14 cm proximal bowel with vascular bowel was transplanted. The jejunal artery was anastomosed with the transverse cervical artery. The anastomosis of the vein and external jugular vein was made in the posterior wall of the trachea × 2cm tracheal flap, tracheal jejunal flow for the sub-structure. Jejunum and pharyngeal and esophageal good anastomosis, the median line from the tracheostomy vertical cut a long