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目的总结1例股前外侧皮瓣重建颈段食管的方法及效果。方法2007年9月,收治1例42岁下咽癌男性患者(T4N3M0)。病程4个月。患者声音嘶哑,吞咽困难。2003年曾行食管癌(中下段)根治术,胃代食管,食管胃颈部吻合术。行肿瘤切除术后采用大小为10cm×7cm的股前外侧皮瓣重建咽喉食管。结果术后股前外侧皮瓣成活,无血肿及感染等并发症发生。供区Ⅰ期愈合。患者术后2周进食通畅,无咽漏。术后1个月,吞钡X线检查,再造食管无狭窄和食管吻合口漏发生。患者获随访6个月,进食良好,皮瓣无坏死,肿瘤无复发。结论股前外侧皮瓣重建咽喉食管是一种安全、有效的手术方法,并发症少。
Objective To summarize the method and effect of reconstructing the cervical esophagus in an anterior flank flap. Methods In September 2007, a 42-year-old man with hypopharyngeal cancer (T4N3M0) was admitted. Duration of 4 months. Patients have a hoarse voice and difficulty swallowing. In 2003 had esophageal cancer (middle and lower section) radical surgery, stomach on behalf of the esophagus, gastroesophageal anastomosis. Tumor resection using the size of 10cm × 7cm anterolateral thigh flap to reconstruct the throat esophagus. Results Postoperative anterolateral skin flap survival, no hematoma and infection complications. Supply for the first phase of healing. Patients 2 weeks after eating smooth, no sore throat. One month after surgery, barium swallow X-ray examination, reconstructive esophageal stricture and esophageal anastomotic leakage occurred. Patients were followed for 6 months, eating well, no necrosis of the flap, the tumor without recurrence. Conclusion Reconstruction of anterior thoracic esophageal anterolateral skin flap is a safe and effective surgical method with fewer complications.