线型闭合器在喉癌全喉切除术中的使用

发布时间：2018-07-07 15:17

本文选题：全喉切除术 + 线型闭合器　；参考：《广西医科大学》2017年硕士论文

【摘要】：目的:比较喉癌全喉切除术中线性闭合器和手工缝合关闭咽腔的疗效。方法:回顾性收集2014.12-2017.03在我院行全喉切除术中使用线型闭合器关闭咽腔共23例,其中使用密闭式技术17例,开放式技术6例。同时收集同术者于2010.01-2014.12月在我院行全喉切除术手工缝合咽腔23例(对照组)。对比分析两种方法的一般资料、手术时间、咽瘘发生率、经口进食时间、术后至出院时间及术后除咽瘘外并发症的差异,探讨线型闭合器的临床效果。结果:闭合器的密闭式技术组与手工组相比能够明显缩短手术时间,平均缩短141.12分钟;缩短术后经口进食时间(4.42天)以及术后至出院时间(4.75天)。闭合器的开放式技术与手工组相比明显可以缩短手术时间,但术后经口进食时间、术后住院时间及咽瘘发生率没有差异。密闭式技术组没有咽瘘发生,但与对照组相比(26.09%),P=0.0660.05,统计学无显著差异。闭合器组并不增加除咽瘘外其他并发症的发生率。结论:在喉恶性肿瘤全喉切除术中使用线型闭合器的密闭式技术关闭咽腔优于传统手工缝合技术。
[Abstract]:Objective: To compare the efficacy of linear closure and manual suture in laryngectomy for closing the pharyngeal cavity. Methods: a total of 23 cases of 2014.12-2017.03 were collected in our hospital for closing the pharynx with a linear closure device, including 17 cases of closed technique and 6 open technique. At the same time, the same operator was collected at 2010.01-2014.12 month in my hospital. 23 cases (control group) were sutured by total laryngectomy. The general data of the two methods, the time of operation, the incidence of pharynx fistula, the time of oral feeding, the time after the operation and the difference of the postoperative complications after the operation of the pharynx fistula were discussed. Results: the closed technique group was compared with the manual group. It could shorten the operation time, shorten the average time of 141.12 minutes, shorten the time of eating after the operation (4.42 days) and after the operation to discharge time (4.75 days). The open technique of the closed device can shorten the operation time obviously compared with the manual group, but the time of eating after the operation, the time of hospitalization after the operation and the incidence of pharynx fistula are not different. There was no fistula in the operation group, but there was no significant difference between the control group (26.09%) and P=0.0660.05. The closure group did not increase the incidence of other complications except for the pharyngopharynx fistula. Conclusion: the closed closure technique of the linear closure in the laryngectomy for laryngeal malignant tumor is superior to the traditional manual suture technique.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R739.65

【参考文献】