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目的探讨喉癌、下咽癌手术后并发咽瘘的原因及治疗措施。方法选取46例喉癌下咽癌术后并发咽瘘患者,随机分为中西医结合治疗组的观察组,以及西医治疗的对照组,统计咽瘘发生原因、不同方法治疗咽瘘的有效率以及生活质量。结果喉癌、下咽癌术后并发咽瘘的主要原因均为发热,经不同方法治疗后,观察组不仅治愈率优于对照组,而且各项生活质量指标均优于对照组,差异有统计学意义(P<0.05)。结论感染是导致喉癌、下咽癌术后并发咽瘘的主要因素,中西医结合治疗不仅可有效提高其咽瘘治愈率,而且对于改善其生活质量,大有裨益。
Objective To investigate the causes and treatment of pharyngeal fistula after laryngeal cancer and hypopharyngeal cancer surgery. Methods Forty-six patients with pharyngeal fistula who had undergone pharyngeal carcinoma of larynx cancer were randomly divided into two groups: the observation group treated by combination of traditional Chinese and western medicine and the control group treated by western medicine. The causes of pharyngeal fistula, the efficiency of pharyngeal fistula by different methods, Quality of Life. Results The main causes of laryngeal cancer and hypopharyngeal carcinoma complicated with pharyngeal fistula were fever. After treatment by different methods, the cure rate of the observation group was better than that of the control group, and all the quality of life indicators were better than the control group, with statistical differences Significance (P <0.05). Conclusions Infection is the main factor leading to laryngeal cancer and hypopharyngeal cancer complicated with pharyngeal fistula. Integrative treatment not only improves the cure rate of pharyngeal fistula, but also improves the quality of life.