腔内支架介入治疗全喉术后重度下咽狭窄.doc

腔内支架介入治疗全喉术后重度下咽狭窄
彭解人1 宋新汉2 蔡翔1 郑珺3 陈良嗣2 付玉贵1

[摘要] 目的研究腔内支架介入治疗全喉术后重度下咽狭窄的治疗要点。方法采用腔内支架介入治疗9例全喉术后重度下咽狭窄患者,观察腔内支架治疗的作用。结果本组患者中,8例放置成功,吞咽困难明显改善,1例放置失败。随访5-36月,安放腔内支架改善了患者进食困难,为继续治疗争取了时间。结论选择合适的腔内支架进行介入治疗,可使全喉术后重度下咽狭窄迅速扩张,能有效地缓解吞咽困难,其使用方便,见效快、疗效可靠,可作为解除下咽狭窄的方法之一。
[关键词] 支架下咽狭窄
Treatment of hypopharyngeal stricture after total laryngectomy by Interventional therapy with Inner-cavity cradle
Peng jieren, Song xinhan, Cai xiang et al. The Second Affiliated Hospital of Zhongshan University, Guangzhou, 510120
【Abstract】To investigate the main points in the treatment of hypopharyngeal stricture after total laryngectomy by interventional therapy with inner-cavity cradle. 【Method】 9 patients of hypopharyngeal stricture after total laryngectomy accepted the interventional therapy with inner-cavity cradle. 【Results】The interventional therapy with inner-cavity cradle eeded in 8 patients, the difficulty of swallowing was obviously improved immediately after the therapy. The therapy failed in 1 patient. The follow-up period lasted from 5 months to 36 months. For the 8 patients, the inner-cavity cradle helped them to e the difficulty of swallowing, gained more time for further treatment. 【Conclusion】A suitable inner-cavity cradle can extend the hypopharyngeal stricture after total laryngectomy, help the patient to e the difficulty of swallowing. The therapy is easy to perform, the effe