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作者用空肠游离移植及胃上提两种方法修复全喉及咽部切除后之缺损,共报告31例;并比较二者的术后并发病及功能恢复情况。患者皆为喉及下咽部鳞癌,计Ⅱ期1例,Ⅲ期5例,Ⅳ期25例。植移空肠者17例,男11,女6,平均年龄66岁。胃上提者14例,男6,女8,平均年龄62岁。术后主要并发病有瘘管6例(肠
The authors used jejunum free grafting and gastric uplifting to repair defects after total laryngeal and pharyngeal resection, and a total of 31 cases were reported; and their postoperative morbidity and functional recovery were compared. All patients were larynx and hypopharyngeal squamous cell carcinoma, including 1 case of stage II, 5 cases of stage III, and 25 cases of stage IV. There were 17 cases of transplanted jejunum, 11 males and 6 females, with an average age of 66 years. On the stomach, there were 14 cases, 6 males and 8 females, with an average age of 62 years. There were 6 cases of fistula after major postoperative complications (intestine)