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1977～1987年,作者为117例下咽和口咽癌病人施行了喉咽切除术,咽重建方法分胸大肌肌皮瓣和游离空肠微血管吻合自体移植两种。为便于临床分析,将全部病人分为四组:应用胸大肌肌皮瓣一期重建者12例(第一组),5例成功(42％),7例瘘口形成(58％),其中6例(86％)经挽救手术修复成功;应用游离空肠一期重建者70例(第二组),44例成功(63％),9例失败(13％),其中5例经再次应用游离空肠、1例经胸大肌肌皮瓣挽救成功,17例瘘口形成(24％),其中9例(53
From 1977 to 1987, the authors performed laryngopharyngectomy for 117 cases of hypopharyngeal and oropharyngeal cancer. The pharyngeal reconstructive method was divided into two types: pectoralis major myocutaneous flap and free jejunal microvascular anastomosed autograft. To facilitate clinical analysis, all patients were divided into four groups: 12 cases (first group) with primary pectoralis major myocutaneous flap reconstruction, 5 cases (42%) successful, and 7 cases of fistula formation (58%). Six of them (86%) were successfully repaired by rescuing surgery; 70 cases were treated with free jejunum reconstitution (Group 2), 44 cases were successful (63%), and 9 cases failed (13%), of which 5 cases were reapplied In the free jejunum, 1 case was successfully saved by the pectoralis major myocutaneous flap, and 17 fistulas were formed (24%), 9 of them (53 cases).