“Z”成形術在喉全切除術氣管造瘺中的應用_West China Medical Journal

Authors：

 祝佼 ^1,2 ,  李文 ¹ , 袁莉清 ³

1. ;
2. ;
3. ;

Corresponding?author：

祝佼, Email: jocelyn1586@163.com; 李文, Email: church.ent.wc@163.com

Keywords：

喉全切除術; 氣管造瘺術; "Z"成形術; 狹窄

DOI：

10.7507/1002-0179.20150651

Video：

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目的探討“Z”成形術在喉全切除術后氣管造瘺中的應用。方法 2009年12月-2011年12月對78例行喉全切除術患者術中同期采用“Z”成形術行氣管造瘺術，術后隨訪測量造瘺口直徑大小。結果 78例氣管造瘺術患者氣管造瘺口直徑在術后第1天為（3.26±0.14）cm，術后3個月為（2.72±0.18）cm，術后6個月為（2.23±0.17）cm，術后1年為（2.04±0.14）cm；隨訪2年，1年后造瘺口直徑趨于穩定，未再繼續縮窄；所有患者全部脫管，脫管時間為6個月，無患者出現造瘺口狹窄、呼吸困難。結論 “Z”成形術操作方便，應用于喉全切除術后氣管造瘺可以很好地預防氣管造瘺口狹窄。

Citation： 祝佼, 李文, 袁莉清. “Z”成形術在喉全切除術氣管造瘺中的應用. West China Medical Journal, 2015, 30(12): 2276-2278. doi: 10.7507/1002-0179.20150651 Copy

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12.	李永強, 張文山. 頸部舌形皮瓣在喉全切除術氣管造瘺中的應用[J]. 中國耳鼻咽喉頭頸外科, 2009, 16(4):171-172.
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14.	Shenoy A, Patil VS, Prithvi BS, et al. Supraclavicular artery flap for head and neck oncologic Reconstruction:an emerging alternative[J]. Int J Surg Oncol, 2013, 2013:658989.
15.	潘寶華, 魯開化, 張琳西. Z成形術在整形外科的應用[J]. 中國美容醫學, 2000, 9(2):142-145.

1. Wax MK, Touma BJ, Ramadan HH. Tracheostomal stenosis after laryngectomy:incidence and predisposing factors[J]. Otolaryngol Head Neck Surg, 1995, 113(3):242-247.
2. Gal TJ, Jones LM. Reconstruction of recalcitrant stenosis of the laryngectomy stoma using the radial forearm free flap[J]. Am J Otolaryngol, 2006, 28(1):52-54.
3. De Virgilio A, Greco A, Gallo A, et al. Tracheostomal stenosis clinical risk factors in patients who have undergone total laryngectomy and adjuvant radiotherapy[J]. Eur Arch Otorhinolaryngol, 2013, 270(12):3187-3189.
4. DeSanto LW, Olsen KD, Perry WC, et al. Quality of life after surgical treatment of cancer of the larynx[J]. Ann Otol Rhinol Laryngol, 1995, 104(10 pt 1):763-769.
5. Kim YH, Kim NH, Seong SY, et al. Double reversing Z-plasty with inferiorly widening stomaplasty for the management of tracheostomal stenosis[J]. Auris Nasus Larynx, 2010, 37(3):361-364.
6. Capper R, Bradley PJ. Etiology and management of tracheostomal stenosis[J]. Curr Opin Otolaryngol Head Neck Surg, 2002, 10(2):123-128.
7. 李亮, 林鵬. 喉全切除術后氣管造瘺口狹窄[J]. 山東大學耳鼻喉眼學報, 2007, 21(2):185-187.
8. Giacomarra V, Russolo M, Tirelli G, et al. Surgical treatment of tracheostomal stenosis[J]. Laryngoscope, 2001, 111(7):1281-1284.
9. Lázaro de Frutos P. "The neocricoid":a new surgical technique to prevent and treat tracheostomal stenosis after total infracricoid laryngectomy[J]. Acta Otorrinolaringológica Espa?ola, 2011, 62(3):228-230.
10. Suzuki M, Tsunoda A, Shirakura S, et al. A novel permanent tracheostomy technique for prevention of stomal stenosis (triangular tracheostomy)[J]. Auris Nasus Larynx, 2010, 37(4):465-468.
11. 麻寧, 陳付華, 郭欣. 喉全切除術后氣管造瘺口狹窄的預防及處理[J]. 臨床耳鼻咽喉頭頸外科雜志, 2012, 26(4):177-178.
12. 李永強, 張文山. 頸部舌形皮瓣在喉全切除術氣管造瘺中的應用[J]. 中國耳鼻咽喉頭頸外科, 2009, 16(4):171-172.
13. Oh SJ, Yang J, Kim SG, et al. Modified dovetail-plasty in scar revision[J]. J Craniofac Surg, 2014, 25(2):485-488.
14. Shenoy A, Patil VS, Prithvi BS, et al. Supraclavicular artery flap for head and neck oncologic Reconstruction:an emerging alternative[J]. Int J Surg Oncol, 2013, 2013:658989.
15. 潘寶華, 魯開化, 張琳西. Z成形術在整形外科的應用[J]. 中國美容醫學, 2000, 9(2):142-145.

West China Medical Journal

“Z”成形術在喉全切除術氣管造瘺中的應用

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