非体外循环冠状动脉旁路移植术同期行喉部分切除术1例Off-pump coronary artery bypass grafting was performed concurrently with partial laryngectomy in 1 case葛瑞锋1 秦作荣1△臧传善1 王效军1 孙彦1
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青岛大学附属医院

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Off-pump coronary artery bypass grafting was performed concurrently with partial laryngectomy in 1 case
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the affiliated hospital of Qingdao University

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    摘要:

    我们为一例合并较为严重冠状动脉狭窄的T3声门型喉癌患者同期先后行非体外循环冠状动脉旁路移植术和喉部分切除术,术后患者恢复顺利,2周给予堵管,痊愈出院。术后6周开始接受放射治疗,给予95%计划靶区、6000cGy/200cGy/30f/6W,放疗结束后约4周拔除气管套管。已随访36个月,行电子纤维喉镜检查,提示喉腔黏膜光滑、宽畅,无复发征象。通过上述病例的治疗,我们体会到,通过术前谨慎而全面的评估、术中的规范操作、术后的严密观察和妥善处置,对合并较为严重冠心病的T3声门型喉癌患者同期进行非体外循环冠状动脉旁路移植术和喉部分切除术是一个可行的选择。

    Abstract:

    We performed an off-pump coronary artery bypass graft and partial laryngectomy for a patient with T3 glottic carcinoma complicated with severe coronary artery stenosis during the same period.The patient recovered well after surgery and was treated with tube occlusion 2 weeks later, and was cured and discharged from hospital.Radiotherapy was started 6 weeks after surgery, with a 95% planned target area of 6000cGy/200cGy/ 30F /6W, and tracheal cannula was removed about 4 weeks after the end of radiotherapy.After 36 months of follow-up, electronic fiber laryngoscopy was performed, and the laryngeal mucosa was smooth and wide, without any recurrence signs.Through the treatment of the above case, we realized that through careful and comprehensive assessment before operation, standardized operation during operation, close observation and proper treatment after surgery,?Simultaneous off-pump coronary artery bypass grafting and partial laryngectomy is a feasible option for patients with T3 glottic laryngeal cancer complicated with more severe coronary heart disease.

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  • 收稿日期:2021-06-03
  • 最后修改日期:2021-07-03
  • 录用日期:2021-07-07
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