喉和咽肿瘤手术后炎性并发症的预防与治疗

发布时间：2018-01-25 03:32

本文关键词： 炎性并发症咽肿瘤发生原因手术后感染发生率气管切开术后并发症游离组织瓣咽瘘抗生素冲洗　出处：《上海医学》2014年03期 　论文类型：期刊论文

【摘要】：正近年来,随着喉癌和咽癌的手术切除和修复技巧的改进,新的仪器和设备的使用,抗生素的广泛应用,使喉、咽肿瘤手术后炎性并发症的发生率降低,其种类、发生原因和处理方式等亦有改变,了解并发症的发生原因并给予及时的治疗,可预防或早期治愈并发症,以减少对患者康复的影响。1炎性并发症的发生原因1.1局部因素手术操作或邻近部位病变情况是喉和咽肿瘤手术后炎性并发症发生的主要原因。①气管切开的时间短,喉、咽组织处于水肿反应期,易诱发术后感染。②病变范围较大,切除后黏膜组织缺失过多,勉强牵拉缝合后因张力大而易使缝线撕脱、组织裂开,细菌进入。③术中过多
[Abstract]:In recent years, with the improvement of surgical excision and repair techniques of laryngeal and pharyngeal cancer, the use of new instruments and equipment, and the widespread use of antibiotics, the incidence of inflammatory complications after larynx and pharyngeal tumor surgery has been reduced. Its kind, occurrence reason and treatment way also have change, understand the occurrence reason of complication and give timely treatment, can prevent or cure the complication early. To reduce the effect on rehabilitation of patients 1.The causes of inflammatory complications 1.1 Local factors, surgical procedures or lesions in adjacent areas are the main causes of inflammatory complications after laryngeal and pharyngeal tumor surgery .1 tracheotomy. It's a short time. Larynx, pharynx tissue is in edema reaction period, easy to induce postoperative infection .2 lesion area, after excision mucous membrane tissue deletion too much, forced pull and suture because of the tension is large and easy to tear the suture, tissue split. Excessive bacterial entry during surgery
【作者单位】：上海交通大学附属第一人民医院耳鼻咽喉-头颈外科;
【分类号】：R739.6
【正文快照】： 近年来,随着喉癌和咽癌的手术切除和修复技巧的改进,新的仪器和设备的使用,抗生素的广泛应用,使喉、咽肿瘤手术后炎性并发症的发生率降低,其种类、发生原因和处理方式等亦有改变,了解并发症的发生原因并给予及时的治疗,可预防或早期治愈并发症,以减少对患者康复的影响。1炎性

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