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经治疗量放疗后行喉切除术者,其咽及颈段食管缺损的发生率为17～54%。为修复这类缺损,不少作者曾提出采用局部组织及费拉托夫皮管等多种方法,但均因其各自具有的缺点而未被广泛应用。近年来,赞成应用带血供的、未经照射区的复合组织瓣转移法修复咽和颈段食管的广泛缺损。作者报告自1975年以来采用包括皮肤、脂肪和肌肉在内、带有血供蒂的复合组织瓣,修复46例咽和颈段食管广泛缺损的方法、适应证、疗效
After the treatment of radiotherapy after laryngectomy who pharyngeal and cervical esophageal defect incidence of 17 to 54%. To repair such defects, many authors have proposed a variety of methods using local organizations and Feilatov skin tube, but they are not widely used because of their respective shortcomings. In recent years, it is in favor of repairing the extensive defect of the pharyngeal and cervical esophagus with the application of blood supply and composite tissue flap transfer without irradiation. The authors report the methods, indications, and efficacy of 46 cases of extensive pharyngeal and pharyngeal esophageal defects treated with a compound pedicle flap of blood supply, including skin, fat and muscle, since 1975