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本文将活瓣性气管食管分流术１２８例的临床资料加以分析讨论。结果除失访者１３例外，１１５例中９１例（７９．１％）发声成功，占本术式的７１．１％。不能发声的２４例（２０．９％）中，６例因局部感染后瘘孔扩大，引起误咽而缝合瘘孔，改练食管发声。另外１８例中，７例患者曾练习发声，但未成功。其原因考虑为：①环咽肌和咽缩肌痉挛；②术中下咽粘膜和食管粘膜切除过多。术后咽腔和食管腔狭窄。另１１例属高龄和体弱患者，无发声欲望或对发声失去信心，放弃发声努力。
This article will be tracheotomy esophageal shunt 128 cases of clinical data to be analyzed and discussed. Results Of the 115 patients, 91 (79.1%) were successful in vocalization, accounting for 71.1% of the patients except for 13 patients lost. In 24 cases (20.9%) unable to sound, 6 cases of fistula due to local enlargement, causing swallowing suture fistula hole, re-esophageal sound. In the other 18 cases, 7 patients practiced vocalization but did not succeed. The reasons for consideration are: ① cricoid pharyngeal muscle and pharyngeal muscle spasm; ② intraoperative pharyngeal mucosa and esophageal mucosa resection too much. Postoperative pharyngeal and esophageal stenosis. The other 11 cases are elderly and frail patients, no desire to voice or lost confidence in voice, give up sound efforts.