Objective To summarize applied anatomy of the thoracic duct at cervical part and experiences in treating chylous fistula after radical neck dissection. 目的探讨颈段胸导管的临床应用解剖,以及颈廓清术并发乳糜漏的预防与治疗方法。
Methods Use pectoralis major muscle flap combined with intermediate split thickness skin graft to reconstruct giant cervical pharyngeal fistula caused by malignant tumor surgical treatment and radiotherapy. 方法对因头颈部恶性肿瘤术后与放疗后形成颈部的咽瘘,应用胸大肌肌皮瓣与中厚皮片联合修复咽食管黏膜及颈部皮肤缺损。
Methods The self-expandable metallic covered stents were placed under the help of X-ray in 4 patients with clinical and radiological signs of rectal obstruction, including 2 cases of respectively ovarian and cervical cancer, and 1 with rectal-vaginal fistula at the same time. 方法妇科肿瘤术后复发并直肠梗阻病例4例,卵巢癌和宫颈癌各2例,其中1例同时伴有直肠阴道瘘,在X线监视下经肛门放置自膨式覆膜镍钛合金金属支架。
Simulation experiment on management of cervical chylous fistula with persistent high vacuum drainage 持续强负压吸引治疗颈乳糜瘘的模拟实验
Results All cases were primary healing except for esophageal colon stoma fistula in cervical in one case, esophageal gastric remnant stoma fistula in thoracic in one case, stoma constriction in one case and pneumonia in 3 cases. 结果29例除1例颈部食管结肠吻合口瘘、1例胸部食管残胃吻合口瘘、1例吻合口狭窄、3例肺部感染、其余均Ⅰ期愈合。
Reconstruction of cervical pharyngeal fistula by combined both pectoralis major muscle flap and intermediate split thickness skin graft 胸大肌肌皮瓣与中厚皮片修复颈部咽瘘
Postoperative complications occurred in 9 cases, including anastomotic leakage in 6, anastomotic stricture in 2 and cervical fistula in 1. All of the 9 cases were cured at last. 术后发生并发症9例,其中吻合口瘘6例,吻合口狭窄2例,颈部瘘1例,均治愈。
Results: All the cases were cured, with 8 cases had mild reflux, no severe reflux, 2 cases had gastric emptying disorders. 1 case had cervical anastomosis fistula. 结果:全部病例均治愈出院,8例有轻度返流,无严重返流病例,2例早期出现排空障碍,1例出现颈部吻合口瘘。
Objective To explore the method that use combined pectoralis major muscle flap and intermediate split thickness skin graft to reconstruct giant cervical pharyngeal fistula. 目的探索以胸大肌肌皮瓣及中厚皮片联合修复颈部咽瘘的方法。
Cervical chylous fistula and chylothorax after neck dissection 颈廓清术并发颈乳糜瘘及乳糜胸的治疗
Postoperative nursing care of a cervical spine fracture case complicated with esophageal fistula after underwent surgery 1例颈椎骨折术后食管瘘病人的护理
For patients with big cervical anastomotic fistula, if they simply take a conservative treatment, the fistula heals slowly and anastomotic benign strictures can merge easily. 对于颈部吻合口瘘瘘口较小者,经保守治疗,瘘口多能在短期内愈合;对于瘘口较大者,如果单纯采取保守治疗,不但瘘口愈合慢,而且容易合并吻合口良性狭窄。