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咽颈前皮肤瘘(简称咽瘘)是全喉切除术后早期常见并发症,一旦发生对病人精神压力、经济负担均很大。1983年12月至1990年9月我行全喉切除130例,17例发生颈部术区皮下感染,33例发生咽瘘。总结如下。一、临床资料 50例皮下感染及咽瘘中,男性26例,女性24例,年龄38～74岁,以51～60岁居多,占64％。33例咽瘘中28例出现皮下感染,占85％;咽瘘出现最短时间为5天,最长22天,以7～14天最多,占61％。单纯全喉切除均采用纵行切口,全喉切除加其他术式采用Y或双Y切口,喉
Anterior pharyngeal skin spasm (referred to as pharyngeal fistula) is an early common complication after total laryngectomy. Once it occurs, the patient’s mental stress and financial burden are great. From December 1983 to September 1990, 130 cases underwent total laryngectomy in our hospital. Seventeen cases had subcutaneous infections in the neck area and 33 cases had pharyngeal fistula. Summarized as follows. First, clinical data 50 cases of subcutaneous infection and pharyngeal fistula, 26 males and 24 females, aged 38 to 74 years old, mostly 51 to 60 years old, accounting for 64%. Among 33 cases of pharyngeal spasm, 28 cases had subcutaneous infections, accounting for 85%; the shortest time for pharyngeal spasm was 5 days and the longest was 22 days, with 7 to 14 days being the highest, accounting for 61%. Total longitudinal laryngectomy is used for total laryngectomy, and Y or double Y is used for total laryngectomy and other surgical procedures.