山东大学耳鼻喉眼学报

• 论著 • 上一篇    下一篇

喉癌、喉咽癌手术相关肺血栓栓塞症的临床特点

王英俊,孙彦,李薇,华辉,黄沂传,葛瑞锋,韩敏   

  1. 青岛大学附属医院耳鼻咽喉头颈外科, 山东 青岛 266003
  • 收稿日期:2014-01-08 出版日期:2014-04-16 发布日期:2014-04-16
  • 通讯作者: 孙彦,教授,硕士生导师。 E-mail:sunyanent@163.com
  • 作者简介:王英俊。 E-mail:n28fortuna@126.com

Clinical features of postoperative pulmonary thromboembolism associated with laryngeal  and hypopharyngeal carcinoma

WANG Ying-jun, SUN Yan, LI Wei, HUA Hui, HUANG Yi-chuan, GE Rui-feng, HAN Min   

  1. Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Hospital of Qingdao University, Qingdao 266003, Shandong, China
  • Received:2014-01-08 Online:2014-04-16 Published:2014-04-16

摘要: 目的    探讨喉癌、喉咽癌手术相关肺血栓栓塞症的临床特点及其诊断和预防。方法    对11例喉癌、喉咽癌术后确诊为肺血栓栓塞症患者的临床表现、辅助检查、治疗方法等进行回顾性分析。结果    同期行喉癌手术453例、喉咽癌手术134例,其中11例术后确诊并发肺血栓栓塞症,占1.9%;临床表现以憋气、胸闷为主,确诊方法包括螺旋CT肺动脉造影8例、核素肺通气/灌注显像确诊3例;主要采用抗凝治疗。结论    喉癌、喉咽癌手术相关肺血栓栓塞症并不少见,应予高度警惕,手术前评估和围手术期预防十分重要。

关键词: 喉肿瘤, 肺栓塞, 外科手术, 喉咽肿瘤

Abstract: Objective    To analyze the clinical characteristics of pulmonary thromboembolism after the surgery of laryngeal and hypopharyngeal carcinoma, and evaluate the diagnosis and prevention of such complication. Methods    A retrospective study was performed in 11 cases of postoperative pulmonary thromboembolism after laryngeal or hypopharyngeal carcinoma surgery.  The symptoms, auxiliary examinations and treatment were analyzed. Results    Among  453 laryngeal carcinoma and 134 hypopharyngeal carcinoma patients who underwent the surgery , there were 11 cases of postoperative pulmonary thromboembolism  (1.9%). Chest distress and breath-hold were the most common clinical manifestations. 8 cases were diagnosed by computed tomography pulmonary angiography,  and 3 cases were diagnosed by ventilation-perfusion (V/Q) scintigraphy. All of the 11 cases received anticoagulant treatment. Conclusion    sThe pulmonary thromboembolism after laryngeal and hypopharyngeal carcinoma surgery is not rare. The preoperative evaluation and postoperative prevention are important.

Key words: Surgery, Laryngeal neoplasm, Pulmonary embolism, Hypopharyngeal neoplasm

中图分类号: 

  • R739.6
[1] 王丽,张宇,张华,刘雪艳,宋西成. 加速康复外科理念在鼻窦外科手术的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 23-26.
[2] 王春雨,张芬,王贝贝,李宇玥,王小雨,李志云,张庆泉. 喉白斑32例临床诊治分析及再认识[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 114-116.
[3] 宋西成. 加速康复外科理念在头颈肿瘤手术的应用价值[J]. 山东大学耳鼻喉眼学报, 2018, 32(5): 1-4.
[4] 李华斌, 赖玉婷. 慢性鼻-鼻窦炎的发病机制及诊疗进展[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 4-9.
[5] 张炜,曾昱菡,余先崧. 慢性鼻窦炎手术前后ECP、EGF、IL-6的水平变化及临床意义[J]. 山东大学耳鼻喉眼学报, 2018, 32(3): 63-67.
[6] 刘晓静,王愿,张立庆,冯剑,赵青,宋圣花,周涵,董伟达. 鼻窦骨纤维异常增殖症36例临床分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 73-78.
[7] 王愿,周涵,刘晓静,张立庆,赵青,冯剑,董伟达. 鼻内翻性乳头状瘤的术式选择和疗效分析[J]. 山东大学耳鼻喉眼学报, 2018, 32(2): 79-83.
[8] 朱丽. 近期鼻骨与鼻中隔复合外伤鼻内镜下成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 7-9.
[9] 李娜. 美容与功能兼顾——浅谈鼻畸形整复与鼻中隔成形术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 1-2.
[10] 吴晴伟,赵影颖,王珮华,王钟颖,陈东. 鼻尖鼻背缺损延期局部皮瓣修复的疗效观察[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 14-17.
[11] 华骋, 陈振雨,张维娜,李娜. 鼻内镜辅助下外鼻整形同期鼻中隔偏曲矫正术[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 33-36.
[12] 姜震,雷大鹏,刘大昱,孙睿杰,于学民,李学新,林云,潘新良. 颈根部占位性病变的诊断与治疗[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 53-55.
[13] 李俏丽,李超,王薇,蔡永聪,孙荣昊,周雨秋,税春燕, 黄璐,涂静. 术后放化疗后复发并侵及侧颅底的原发性腮腺鳞状细胞癌一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 87-88.
[14] 江英,陈玥竹,饶郁芳,唐玥玓. 鼻中隔-鼻整形术矫正严重外伤性鼻畸形伴鼻中隔偏曲一例[J]. 山东大学耳鼻喉眼学报, 2018, 32(1): 45-47.
[15] 孙国臣,孙彦,张虹,王保为. 儿童分化型甲状腺癌的临床特征及治疗体会[J]. 山东大学耳鼻喉眼学报, 2017, 31(6): 25-28.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!