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目的:观察带蒂胸锁乳突肌锁骨膜瓣作为移植物修复较大范围喉气管缺损的效果。方法:较大范围喉气管缺损患者49例,其中喉气管缺损原因为喉气管狭窄31例,甲状腺癌侵犯气管手术18例。所有患者均采用取带蒂胸锁乳突肌锁骨膜瓣作为移植物修复喉气管缺损,T形硅胶管支撑3～6个月。结果:49例患者全部治愈拔管,恢复正常呼吸功能及功能性发声。随访2～10年,疗效可靠。结论:对于较大范围的喉气管缺损,带蒂胸锁乳突肌锁骨膜瓣取材方便,支撑力强,疗效肯定,是一种理想的移植物。
Objective: To observe the effect of pedicled sternocleidomastoid clavicular flap as a graft to repair laryngotracheal defect in a wide range. Methods: A total of 49 patients with laryngotracheal defect were included in this study. Among them, throat trachea defect was caused by laryngotracheal stenosis in 31 cases and thyroid carcinoma by tracheal operation in 18 cases. All patients were taken pedicled pedicle sternocleidomastoid clavicular flap as a graft repair laryngotracheal defect, T-shaped silicone tube support 3 to 6 months. Results: All the 49 patients were extubated, resumed normal respiratory function and functional vocalization. Follow-up 2 to 10 years, the curative effect is reliable. CONCLUSIONS: For a large range of laryngotracheal defects, pedicled sternocleidomastoid levator mucosal flap is easy to take, supportive and effective, and is an ideal graft.