论文部分内容阅读
目的分析喉切除术后发生咽瘘的影响因素及其预防。方法回顾性分析我院2005年12月～2009年2月行喉切除术后发生咽瘘的18例患者的临床资料。结果喉切除术后咽瘘的发生率为11.1%,其发生与性别、年龄、吸烟、饮酒及术式无明显相关(P>0.05),而与临床分期、术前气管切开、术前放疗、手术时间及术腔引流方法相关(P<0.05)。结论临床上应注意改善喉切除术后发生咽瘘的相关因素,降低咽瘘发生率,一旦发生咽瘘立即对症处理,提高患者生活质量。
Objective To analyze the influencing factors and prevention of pharyngeal fistula after laryngectomy. Methods The clinical data of 18 patients with pharyngoesophageal fistula after laryngectomy in our hospital from December 2005 to February 2009 were retrospectively analyzed. Results The incidence of pharyngoesophageal fistula after laryngectomy was 11.1%. The occurrence of pharyngoesophageal fistula was no significant correlation with gender, age, smoking, drinking and surgical procedures (P> 0.05) , Operation time and drainage method (P <0.05). Conclusions In clinic, attention should be paid to the improvement of related factors of pharyngeal fistula after laryngectomy and to reduce the incidence of pharyngeal fistula. Once pharyngeal fistula has occurred, the symptomatic treatment should be promptly taken to improve the quality of life of patients.