本文選題：全喉切除術 + 線型閉合器�。� 參考：《廣西醫(yī)科大學》2017年碩士論文

【摘要】：目的:比較喉癌全喉切除術中線性閉合器和手工縫合關閉咽腔的療效。方法:回顧性收集2014.12-2017.03在我院行全喉切除術中使用線型閉合器關閉咽腔共23例,其中使用密閉式技術17例,開放式技術6例。同時收集同術者于2010.01-2014.12月在我院行全喉切除術手工縫合咽腔23例(對照組)。對比分析兩種方法的一般資料、手術時間、咽瘺發(fā)生率、經(jīng)口進食時間、術后至出院時間及術后除咽瘺外并發(fā)癥的差異,探討線型閉合器的臨床效果。結果:閉合器的密閉式技術組與手工組相比能夠明顯縮短手術時間,平均縮短141.12分鐘;縮短術后經(jīng)口進食時間(4.42天)以及術后至出院時間(4.75天)。閉合器的開放式技術與手工組相比明顯可以縮短手術時間,但術后經(jīng)口進食時間、術后住院時間及咽瘺發(fā)生率沒有差異。密閉式技術組沒有咽瘺發(fā)生,但與對照組相比(26.09%),P=0.0660.05,統(tǒng)計學無顯著差異。閉合器組并不增加除咽瘺外其他并發(fā)癥的發(fā)生率。結論:在喉惡性腫瘤全喉切除術中使用線型閉合器的密閉式技術關閉咽腔優(yōu)于傳統(tǒng)手工縫合技術。
[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.
【學位授予單位】：廣西醫(yī)科大學
【學位級別】：碩士
【學位授予年份】：2017
【分類號】：R739.65

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