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目的探讨胃咽吻合术在晚期喉咽癌和颈段食管癌手术中的应用。方法回顾性分析我院收治的3例行胃咽吻合术患者的临床资料。结果3例中男2例,女1例,年龄分别为41、68、34岁。2例颈段食管癌,1例喉咽-颈段食管癌。3例患者均行全喉-喉咽-颈段食管切除术,胃上提胃咽吻合术,术后获得较好吞咽功能。2例健在,其中1例术后22个月,1例术后1个月;1例术后16个月出现全身转移死亡。结论胃咽吻合术对晚期喉咽癌和颈段食管癌切除后大范围缺损具有较好的一期修复效果。
Objective To investigate the application of anastomosis in the treatment of advanced hypopharyngeal carcinoma and cervical esophageal carcinoma. Methods The clinical data of 3 patients undergoing gastric anastomosis were retrospectively analyzed. Results There were 2 males and 1 females in 3 cases, with the ages of 41, 68 and 34 respectively. 2 cases of cervical esophageal cancer, and 1 case of hypopharyngeal-cervical esophageal cancer. Three patients underwent total throat - hypopharyngeal - cervical esophagectomy, gastric stomach anastomosis, get better swallowing function. 2 cases were alive, including 1 case of 22 months postoperatively and 1 case of postoperative one month postoperatively. One patient died of systemic metastasis at 16 months postoperatively. Conclusion Gastroesophageal anastomosis has a good first-stage repair effect on the late-stage hypopharyngeal carcinoma and cervical segmental esophageal carcinoma after resection.