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目的:探讨有效治疗食管入口周围严重狭窄的手术方法。方法:对2000-2009年完成的23例食管入口周围严重狭窄的患者进行回顾性分析,根据病情分别采用不同的治疗手段。对伴有下咽狭窄者,采用食管扩张、局部黏膜成形、胸大肌肌皮瓣、结肠上徙、空肠移植等方法整复;对伴有喉狭窄者,采用胸骨舌骨肌肌筋膜、会厌下拉、胸锁乳突肌锁骨衣等方法整复。结果:22例恢复正常饮食,1例失败,21例拔除气管套管。经1～9年的随访,未发生再狭窄,手术效果稳固。结论:对食管入口处严重狭窄的患者根据病情采取合理的手术方法,疗效良好。
Objective: To investigate the effective treatment of esophageal stricture around the surgical approach. Methods: A retrospective analysis was performed on 23 patients with severe stenosis around the esophageal entrance completed in 2000-2009. Different treatments were used according to the condition. For those with stenosis, esophageal dilatation, local mucosal formation, pectoralis major myocutaneous flap, colorectal migration, jejunal transplantation and other methods of consolidation; for those with laryngeal stenosis, the sternohyoid muscle fascia, Epiglottis pull, sternocleidomastoid clavicle clothing and other methods of rehabilitation. Results: 22 cases returned to normal diet, 1 case failed and 21 cases had tracheal cannula removed. After 1 to 9 years of follow-up, no restenosis occurred and the operation was stable. Conclusion: Patients with severe stenosis at esophageal entrance should take reasonable surgical treatment according to the condition and have good curative effect.