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作者介绍一种恢复喉全摘术后发音功能的手术方法,并对29例病例进行分析。手术方法:喉摘除后食管内放一32或34F食管探条以撑起并固定食管。于颈部食管前壁中央作一全厚食管粘膜瓣(长5公分、宽2.5公分、基底在下方、其上缘距喉咽部缺损边缘2公分)。再于气管后壁中央距断端2公分处作一1.5公分长之水平切口,作为即将制成“分道”(shunt)的气管端开口。将食管粘膜辦向前倒,使其游离端与气管后壁的水平切口相遇,用粘膜下间断缝合法将二者粘膜精细地缝合在一起,取12或14 F粗细之导尿管由气管后壁水平切口插入而进入食
The authors describe a surgical method to restore phonological function after total laryngectomy, and analyze 29 cases. Surgical methods: Thoracotomy esophageal release of a 32 or 34F esophageal exploration to prop up and fixed the esophagus. A full-thickness esophageal mucosal flap (5 cm in length, 2.5 cm in width, basal underneath, 2 cm above the margin from the laryngopharyngeal defect) was placed at the center of the cervical esophageal anterior wall. A 1.5 cm long horizontal incision was then made at the center of the posterior wall of the trachea at a distance of 2 cm from the broken end as a tracheal opening to be made “shunt”. The esophageal mucosa to move forward, so that the free end of the tracheal wall and the horizontal incision meet, with submucosal suture method will be fine suture the two together, take 12 or 14 F thickness of the catheter from the trachea Insert the wall horizontal cut into the food