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] 陈涛,姜洋,李莹. SMILE矫正PRK术后屈光回退1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2025, 39(6): 148-153.
[2] 文锋,张驰,扈希昊,董冰婉,秦永,赵恩民. 喉部腺样囊性癌4例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(4): 119-125.
[3] 彭薪燃,李永团. Madelung病伴阴囊脂肪堆积1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2023, 37(3): 67-71.
[4] 毛泽凡陈曦,程雷. 喉神经内分泌癌的研究进展[J]. 山东大学耳鼻喉眼学报, 2022, 36(4): 114-119.
[5] 陈世琴,卫平存,胡云龙,胡金旺. 糖皮质激素三种不同鼻用法对鼻内镜术后黏膜转归的影响[J]. 山东大学耳鼻喉眼学报, 2022, 36(3): 195-201.
[6] 赵笑冰,张大为,陈仁杰. 中耳间变性大T细胞淋巴瘤1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2022, 36(2): 7-14.
[7] 赵雅铭,石崧. 以急性会厌炎为首诊的3例颈部坏死性筋膜炎病例报告并文献复习[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 12-16.
[8] 石玉琦,佘翠平,张庆丰,刘得龙,焦梦思. 早期声门型喉癌低温等离子射频术后喉部感染诊治经验与教训[J]. 山东大学耳鼻喉眼学报, 2021, 35(4): 129-134.
[9] 朱华明,关建,茆松,张维天,易红良. 低温等离子射频消融辅助咽旁间隙良性肿瘤切除的应用分析[J]. 山东大学耳鼻喉眼学报, 2021, 35(2): 28-33.
[10] 郭芳,张德军,傅则名,郭颖媛,万怡宁,管国芳. 外耳道胆脂瘤并发化脓性腮腺炎1例并文献复习[J]. 山东大学耳鼻喉眼学报, 2020, 34(6): 12-15.
[11] 郑美君,杨慧,胡娟娟. 喉显微外科治疗声门型喉蹼的研究进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 144-147.
[12] 王海英. 鼻内镜下二线减张鼻中隔矫正术43例临床分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 166-168.
[13] 陈国辉,和守睆,孙青,高天乐,白广平. 鼻内镜术中不同中鼻甲处理方式治疗慢性鼻-鼻窦炎伴鼻息肉效果比较[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 82-86.
[14] 李强,刘志元,周涵. 鼻内镜下蝶腭动脉阻断术治疗老年难治性鼻出血[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 92-95.
[15] 李晓明. 喉癌治疗中喉功能保留的历史、现状和未来[J]. 山东大学耳鼻喉眼学报, 2019, 33(4): 1-5.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
No Suggested Reading articles found!