气管侧切扩大气管造瘘口预防喉全切除后颈部造瘘口狭窄(附33例报告)-东南大学学报医学版

气管侧切扩大气管造瘘口预防喉全切除后颈部造瘘口狭窄(附33例报告)

单位：东南大学附属中大医院,耳鼻咽喉科,江苏,南京,210009

分类号：R767.91

出版年·卷·期（页码）：2006·25·第四期（286-288）

摘要：

目的:研究预防喉全切除术后气管造瘘口狭窄的方法. 方法:33例患者喉全切除后采用改良的造瘘口方法,即将气管残端双侧纵行剪开,长约2cm,于气管造瘘口下方皮肤设计三角形皮瓣,嵌入缝合. 结果:所有患者术后3个月均不再带管,亦无造瘘口狭窄,无呼吸困难,生活质量显著改善. 结论:这种经改良的气管侧切式造瘘口方法可以很好地预防喉全切除术后气管造瘘口狭窄.

Objective To explore a new technique to prevent tracheostomal stenosis(TSS) after total laryngectomy.Methods 33 patients received the improved tracheostomy following total laryngectomy instantly,which consisted of Tow vertical incision,performed in the side of the end of trachea and tow triangle flap on the skin of tracheostomal site made after total laryngectomy.Results All of the patients lived without metal stent after three months.No dyspnea was found and their qualities of lives were dramatically improved.Conclusion The side-incision of trachea tracheostomy is an effective treatment for prevention of tracheostomal stenosis after total laryngectomy.

参考文献：

[1] MYERS E N, LOUIS J G. Tracheostomal stenosis following laryngectomy, 1982(4)
[2] 屠规益. 喉癌下咽癌现代理论与临床, 2002
[3] BLOM E D, HAWAKER R C. Tracheoesophageal voice restoration following total laryngectomy, 1996
[4] YONKERS A, MERCURIO G. Tracheostomal stenosis following total laryngectomy, 1983
[5] 陈仁杰, 徐其昌, 林子萍. 喉全切除后气管造口植入式镍钛合金支架的研制和临床应用. 耳鼻咽喉-头颈外科2001(8). doi:10.3969/j.issn.1672-7002.2001.01.003

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