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切除肿瘤后修复下咽和颈段食管一直是难题。作者为此奋斗了30年,曾用局部组织、转移皮瓣、皮肤游离移植、转移或移植胃或肠等方法来解决此问题。近10年来,作者采用胃转移(GT)和管状胸大肌肌皮瓣(TPMF)的方法修复咽和上段食管。获得了满意效果。作者于1971年至1988年共完成25例用 GT和 TPMF 的手术。年龄为45～89岁。TPMF 手术10例,GT 手术15例。10例 TPMF 中,8例效果好,吞咽正常;随访1～4年,2例死于心脏病,其余无肿瘤复发;发生下吻合口瘘4例,吻合口狭窄1例,皆为术前放疗者;无1例发生肌皮瓣坏死、丧失;有7例年逾80岁,全身健康状
Repairing the hypopharyngeal and cervical esophagus after removing the tumor has always been a problem. The authors have struggled for 30 years and have used local tissue, transfer flaps, free skin grafts, metastases or transplanted stomach or intestines to solve this problem. In the past 10 years, the authors used a gastro-metastasis (GT) and tubular pectoralis major myocutaneous flap (TPMF) to repair the pharynx and upper esophagus. Satisfactory results. The author completed 25 operations with GT and TPMF from 1971 to 1988. Age 45 to 89 years old. There were 10 TPMF surgeries and 15 GT surgeries. In 10 cases of TPMF, 8 cases had good results and normal swallowing; in 1 to 4 years of follow-up, 2 cases died of heart disease and the rest had no tumor recurrence; 4 cases had anastomotic leakage and 1 had anastomotic stenosis. All were preoperative radiotherapy. No cases of myocutaneous flap necrosis and loss occurred; 7 cases were over 80 years old and had general health symptoms.