| 蒋劲松,李大鹏,黄辉,等.1例颈椎前路术后难治性咽瘘的治疗体会[J].安徽医药,2017,21(5):886-888. |
| 1例颈椎前路术后难治性咽瘘的治疗体会 |
| Treatment experience of 1 case of intractable pharyngeal fistula after anterior cervical surgery |
| 投稿时间：2016-08-17 |
| DOI： |
| 中文关键词: 难治性咽瘘 手术治疗 预后 |
| 英文关键词: |
| 基金项目: |
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| 摘要点击次数: 3139 |
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| 中文摘要: |
| 目的 探讨难治性咽漏的治疗方法。方法 总结1例颈椎前路术后并发难治性咽漏的临床资料,包括颈椎前路手术的病史、并发咽漏的临床表现以及治疗经过。结果 病人行前路颈椎减压椎间植骨融合钛板内固定术治疗颈椎后凸畸形后出现咽漏并发症,经保守治疗未愈合,单纯行两次修补术仍未愈合,最终行前路术后咽瘘探查修补+全瘘切除+右侧带蒂胸锁乳突肌瓣+左侧带蒂带状肌瓣翻转修复+钛网及peek融合器取出髂骨植骨融合术后再结合保守治疗后病人咽漏愈合。结论颈部手术可能并发咽漏,一旦并发需结合情况选择合适的治疗方式,预后多良好。 |
| 英文摘要: |
| Objective To explore the treatment of refractory pharyngeal fistula.Methods To summarize the clinical data of 1 case with intractable pharyngeal fistula after anterior cervical surgery,including the medical history of anterior cervical spine surgery,clinical manifestations and the treatment course.Results The patient complicated with pharyngeal fistula after the surgery for cervical kyphosis,which did not heal with conservative treatment or simple closure operation,then recovery by using complex treatment with closure operation,repairing with muscle flap,foreign bodies removal and autogenous bone graft fusion.Conclusion The cervical surgery may be complicated by pharyngeal fistula.The prognosis is good with appropriate choice of treatment. |
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