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xiong gu she gu ji jin mo ban zai hou qi guan xiu fu zhong de ying yong
Author(s): 
Pages: 2297-2298
Year: Issue:  20
Journal: THE JOURNAL OF PRACTICAL MEDICINE

Keyword:  喉切除术外科皮瓣喉肿瘤气管狭窄;
Abstract: 目的:探讨喉部分切除后及颈段气管狭窄,采用胸骨舌骨肌筋膜瓣修复喉腔或气管的手术适应证、方法.方法:对于喉部病变切除后,采用转门式及双蒂肌筋膜瓣修复声门区 11例,采用转门式筋膜瓣联合" T"形管修复颈段气管狭窄 2例,采用单蒂肌筋膜瓣修复声门上区癌切除后舌根及喉部缺损 3例,梨状窝血管瘤切除后喉部缺损 1例.结果:所有患者切口均Ⅰ期愈合,未出现咽瘘及喉气管狭窄.结论:胸骨舌骨肌筋膜瓣与喉、颈段气管在同一术野,取材方便,抗感染力强,易上皮化,用于喉、气管修复可代替黏膜,减少肉芽生长及感染,操作方便,并发症少.
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