CAJ | 학술논문

目的:观察带蒂胸锁乳突肌锁骨膜瓣作为移植物修复较大范围喉气管缺损的效果.方法:较大范围喉气管缺损患者49例,其中喉气管缺损原因为喉气管狭窄31例,甲状腺癌侵犯气管手术18例.所有患者均采用取带蒂胸锁乳突肌锁骨膜瓣作为移植物修复喉气管缺损,T形硅胶管支撑3～6个月.结果:49例患者全部治愈拔管,恢复正常呼吸功能及功能性发声.随访2～10年,疗效可靠.结论:对于较大范围的喉气管缺损,带蒂胸锁乳突肌锁骨膜瓣取材方便,支撑力强,疗效肯定,是一种理想的移植物.
목적:관찰대체흉쇄유돌기쇄골막판작위이식물수복교대범위후기관결손적효과.방법:교대범위후기관결손환자49례,기중후기관결손원인위후기관협착31례,갑상선암침범기관수술18례.소유환자균채용취대체흉쇄유돌기쇄골막판작위이식물수복후기관결손,T형규효관지탱3～6개월.결과:49례환자전부치유발관,회복정상호흡공능급공능성발성.수방2～10년,료효가고.결론:대우교대범위적후기관결손,대체흉쇄유돌기쇄골막판취재방편,지탱력강,료효긍정,시일충이상적이식물.
Objective:To investigate the effect of the musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum on the reconstruction of extensiveness laryngotracheal defect. Method: Retrospectively studied 49 patients, who admited in our department from 1996 to 2005 years for severe laryngotracheal defect. There were 28 males and 21 females aged from 15 to 69 years old (mean age was 47 years old). The causes of laryngotracheal defect were laryngotracheal stenosis(31 cases) and surgery for thyroid carcinoma invading trachea (18 cases). All of 49 cases were treated with the graft of musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum and placed a silicon T-tube stenting for 3 to 6 months. Result; All of 49 cases were successfully decannulated with recuperative normal airway patency and effective phonation. The follow up ranged from 2 to 10 years, and the effect of operation was steady. Conclusion:The musculo-periosteum flap of the sternocleidomastoideus with clavicular periosteum is an ideal graft for the reconstruction of cervical extensiveness tracheal defect.