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本文报告二例因喉癌而行喉全切后利用食管说话的患者。例一手术后6年又发现食管下1/3处长一癌瘤,切除食管下段后行食管胃吻合。其食管声仅于术后第一天有些变弱,其后则迅速恢复至术前水平,至死均无恶化。例二于术后9年发现横膈裂孔疝及食管严重狭窄,遂切除食管下段并作食管胃吻合。术后次日食管发声变弱,出院时已恢复原状,只是觉得需咽下更多的空气才能维持与术前相同的发声时间。据此,作者们认为食管阻塞、狭窄或食管下段切除对食管发声均无任何长期的不良影响,因为食管下段及下括约肌对于储存空气和振动以产
This article reports two patients with esophagus talking after laryngectomy for laryngeal cancer. In the first case, a cancerous tumor was found in the lower 1/3 of the esophagus 6 years after surgery. The esophagogastric anastomosis was performed after the lower esophagus was resected. The esophageal sound was only weaker on the first postoperative day, and then quickly returned to preoperative levels, with no deterioration until death. Case II found a severe hernia of the diaphragm and severe esophageal stricture in the 9th year after surgery. The hernia was resected and the esophagogastric anastomosis was performed. On the following day, the voice of the esophagus weakened and returned to normal when discharged. It just felt that more air needed to be swallowed to maintain the same vocalization time before surgery. Based on this, the authors considered that esophageal obstruction, stenosis, or lower esophageal resection had no long-term adverse effects on esophageal vocalization because the lower esophageal and lower sphincter muscles were used to store air and vibration.