论文部分内容阅读
目的 探讨喉肿瘤术后、喉外伤后导致的喉狭窄的手术治疗方法。方法 应用自行设计的双蒂双肌瓣 ,对 4 2例喉狭窄病例进行喉成形手术。结果 36例解除了喉狭窄 ,拔除了气管套管 ,拔管率为 85 7% ;胃管术后 7～ 10d均拔除。结论 双蒂双肌瓣植入伤口创面 ,可避免瘢痕增生 ,使手术成功率大大提高 ;且利用自体组织 ,就近取材 ,简单易行 ,值得推广应用。喉恶性肿瘤术后 1 5年 ,进行喉狭窄成形术较为适宜。喉支架切除过多 ,是该方法的非适应证
Objective To investigate the surgical treatment of laryngeal stenosis after laryngeal tumor surgery. Methods A total of 42 cases of laryngeal stenosis were treated with laryngeal bi-muscle flap by self-designed double-pedicled double-muscle flap. Results Thirty-six patients had throat stenosis removed, tracheal cannula was removed, and the rate of extubation was 85.7%. All patients were withdrawn 7-10 days after operation. Conclusions Double pedicled double muscle flap implants wound can avoid scar hyperplasia, so that the success rate of operation is greatly improved; and the use of autologous tissue, the nearest material, easy to implement, it is worth to promote the application. Laryngeal malignant tumors 15 years after surgery, laryngeal stenosis is more appropriate. Laryngectomy too much is the method of non-indications