内镜技术在喉切除术后瘢痕性狭窄中的应用。临床观察

I. N. Iurichev, V. Vereshchak, A. Mudunov, A. A. Marienko
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引用次数: 0

摘要

喉切除术后吞咽困难和瘢痕性狭窄的形成是肿瘤学实践中常见的并发症。治疗狭窄的方法之一是内镜下球囊扩张,其特点是相对较高的有效性。然而,在接受喉切除术和放化疗的患者(术前或术后),复发瘢痕性狭窄的风险明显更高。本文描述了一例咽喉癌综合化疗和喉切除术后吞咽困难患者的成功治疗。经多次球囊扩张手术后,行内镜下瘢痕狭窄支架置入。
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Endoscopic techniques used in scarring stenoses after laryngectomy. Clinical observation
Dysphagia and formation of scarring stenoses after laryngectomy are common complications in oncological practice. One of the treatment methods for the strictures is endoscopic balloon dilation which is characterized by relatively high effectiveness. However, in patients who underwent both laryngectomy and chemoradiation treatment (before or after surgery), the risk of recurring scarring strictures is significantly higher. The article describes a case of successful treatment of a patient with dysphagia after integrative treatment of laryngeal cancer consisting of chemoradiotherapy and laryngectomy. After multiple procedures of balloon dilation, endoscopic stenting of the scar narrowing was performed.
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