CAJ | 학술논문

目的：探讨喉癌术后并发咽瘘的原因以及相关预防护理对策。方法回顾性分析131例行喉癌切除术患者的临床资料，其中23例并发咽瘘，分析相关原因，并提出相应预防护理措施。结果术前有无放疗及气管切开、肿瘤分期，术中同期有无行颈淋巴结清扫术、手术方式的选择，术后感染与否、营养支持状况等因素与并发咽瘘存在相关性（P<0.05）。结论喉癌术后并发咽瘘的原因因素较多，积极做好术前、术中以及术后预防护理能有效降低喉癌术后并发咽瘘的概率。
목적：탐토후암술후병발인루적원인이급상관예방호리대책。방법회고성분석131례행후암절제술환자적림상자료，기중23례병발인루，분석상관원인，병제출상응예방호리조시。결과술전유무방료급기관절개、종류분기，술중동기유무행경림파결청소술、수술방식적선택，술후감염여부、영양지지상황등인소여병발인루존재상관성（P<0.05）。결론후암술후병발인루적원인인소교다，적겁주호술전、술중이급술후예방호리능유효강저후암술후병발인루적개솔。
Objective To discuss the causes and nursing countermeasures to prevent pharyngeal fistula after surgery of laryngeal carcinoma. Method A retrospective analysis of our hospital 131 cases of laryngeal cancer resection patients, including 23 cases of pharyngeal fistula, analysis of its causes, and put forward the prevention and nursing measures. Results With or without preoperative radiotherapy and tracheotomy, stage of tumor, intraoperative period whether cervical lymphadenectomy, operation mode selection, whether the factors of infection, nutrition status and closely related to postoperative pharyngeal fistula. Conclusion There are many factors of postoperative laryngeal cancer patients with pharyngeal fistula, active preoperative, intraoperative, postoperative nursing can effectively reduce the incidence of pharyngeal fistula after total laryngectomy.