Pharyngocut.fistula

Embed Size (px)

Citation preview

  • 8/3/2019 Pharyngocut.fistula

    1/18

  • 8/3/2019 Pharyngocut.fistula

    2/18

    4.,9434190,73

    4579-080472,3!8.420.42.,89309

    %08009434190,73.43889841330.,79,089700830,3/

    97005,70/

    %74/79034/8

    7.4/473.:,90

    54998:301472

    %0,730,800943

    45790377,3,9424190:2,34/

    ,730,02-744

    %0,73/0;045817429014:79,3/119-7,3.,,7.0899097/00

    41089,9439070857,94757247/:28/07;0/1742905729;01470:994

    ,907147290:3-:/,3/,90790-743.,-:/.0;039:,/0;045

    3949097,.04-743.,970099014:79,3/1190041089,94390

    97,.0440845,0,14/81:809414729097,.0440845,0,8059:20,/3

    9490805,7,943419097,.0,,7,:2031742900845,0,/089;0

    97,.9

  • 8/3/2019 Pharyngocut.fistula

    3/18

    %0,73497,.0,744;08905729;0450334190,73/:73

    /0;0452039%8897:.9:70/0;045394905729;0,730,,/9:8.

    ,7014720/-970002303.08%054-7,3.,02303.08902489

    .05,,/4190897:.9:708,3/,907/0;04539490054998%0490794

    02303.08147290,79034/.,79,08%0,730,:2034-907,908,3/

    ,90770.,3,08-9090390041089,943

    ,730,1:3.943

    %0,73,8,3,77,411:3.94383.:/3

    70,935,88,0

    7,57490.943

    0,7,3.04180.70943

    '4.,,943

    #0/:.943390804190,730,,7,.,3574/:.0825942841,7,

    4-897:.9437,3317422/897/47943.70,80/4741-70,9357080393

    9.089,7097,.9433,8,1,739,.530,,530,.,3488,3/0;03

    8://03/0,9

    ,730,.,3.07

    ,730,.,3.078,8074:8/80,809895.,,/80,80410/078243

    203;0394:,730,.,3.078902489.422430,/,3/30.

    2,3,3.9.4257808,55742,904341,2,3,3.08

  • 8/3/2019 Pharyngocut.fistula

    4/18

    ,3/

    410,/,3/30..,7.342,8

    %04;07,574348841,730,86:,24:8.0.,7.342,$870,9;0

    44/.425,70/940,/,3/30..,3.07830307,40;0790970,92039

    459438,;,,-00850.,9480147,/;,3.0//80,80.,:8080;070

    25,7203941906:,94110%8,77,398,80,7.1472470.43807;,9;0

    0906:,0110.9;0970,92039702038:79072094/8147/090.939080

    .,3.078,9,30,70789,0,3/147/893:8390.,3.07892470

    ,7088;0-0,;47,70-0384:9%080,7090.,3.0789,9,;0

    549039,904789574348808590900307,2574;020393.,3.07.,70

    /:73905,89/0.,/08908:7;;,41$,83492574;0/831.,39

    3859041,2:99:/0415:-80/89:/084:7340/0,-4:9905743489.

    1,.947841$,83492,70/3.70,80//:73905,89/0.,/08

    ;03

    94/,90/80,8089,0,99092041/,3488,3/90,3,942.,8:-89041

    909:24:7,70904384/,3/57,.9.,5743489.1,.9478,3/94483

  • 8/3/2019 Pharyngocut.fistula

    5/18

    .448390970,9203957494.4147,730,86:,24:8.0.,7.342,$

    /0;,709418945,944.,1,.9478,;0-00389:/0/,8549039,

    3/.,94784154475743488,3/.43806:039,7088;0970,92039-:99

    .431.93708:98

    ,3459438,70,;,,-0147970,9203941,730,.,3.07.3.:/0

    ,8078:707

    5,79,,730.9427,/,943907,5.024907,5,3/949,

    ,730.942706:0395,90398:3/074949,,730.942,1907:38:..0881:

    ,9902598,9570807;390,7395,79,,730.942

    1,0/7,/,943

    907,547147,/;,3.0/,730,.,3.07

    #0;041907,9:70

    8947415,734.:9,304:8189:,!

    %49,,730.94289,790/3-7-078470.47/0/8:..0881:

    0975,9434190,7341,/4.;0/147/,8

  • 8/3/2019 Pharyngocut.fistula

    6/18

    74950714720/,98.438/070/94-09017898:..0881:949,,730.942

    43,:2,3-033%05,9039,8,0,74/2,34,894:9

    94,;0,9:24743430;4.,.47/.,80.80/30/,8,9079003970

    ,73,/94-07024;0/-0.,:8090749,/8570,/,3/310.943

    /0;0450/%05,9039/0/17424.,70.:7703.041909:24739030..

    3.:/0/,478033!

    749,8,8490178950784394705479!,84304190.425.,943841

    949,,730.942

    %0574.0/:7041949,,730.9428891440/-8:7.,.425.,9438

    .2,.,:808074:8247-/9,3/0;032479,98:.,880;070310.943

    91,530.7488708:933.,749/-44:94790/0;045203941!

    .8902489.42243.425.,943

    3./03.0415,734.:9,304:8189:,

    %07054790/3./03.041!339073,943,907,9:708097020;,7,-0

    7,33174294

  • 8/3/2019 Pharyngocut.fistula

    7/18

    997-:931,.9478415,734.:9,304:8189:,

    08590,,703:2-074189:/0850714720/9413/4:990.4397-:931,.94783

    90/0;045203941!990,24170/:.3983./03.09070889

    /8,7002039431,.94789,9570/854809498.425.,943

    ',74:8.4397-:931,.9478,;0-003/03910/3.:/3

    ,%204147,100/3

    988:75783,999031472,9438,;,,-0390907,9:70948:5547990

    9204139,943419047,100/39803439,9,833.8430,8

    3,,907991,84393,19078:707

    98002870,843,-094

    ,88:209,9905,730,2:.48,.4://4908,203,82,75074/

    &3/073472,.43/94388,;,88,40/,9,7,904124:78

    $,;,8,8549039,,721:20.,3.,,849078,40/6:/8478419

    144/

    39,9347,100/3934:7841949,,730.94294:95,79,

    5,730.9424,;0349,/,570;4:88:7.,7080.9434190:5507

    ,074/089;097,.9,3/4,;0090734970.0;0/570;4:8907,50:9.

    77,/,94394900,/,3/30.7043/4083493.70,80901706:03.41

    !

  • 8/3/2019 Pharyngocut.fistula

    8/18

    7,100/30850.,984/144/03.4:7,087,3:,943988:0

    1472,943,4390189:,97,.9,3/0;039:,708:983247085439,304:8

    .48:704190189:,97,.9

    -,89740845,0,701:/80,80#

    ,89740845,0,701:/80,80,870.039-003/03910/,8,325479,39

    1,.94733:2074:831,22,947,3/3045,89./847/0784190:5507

    ,074/089;097,.998,884.,90/9.439,.9:.078,3/7,3:42,84190

    ,73.743.,7398548939:-,943,730,.425.,9438,730,

    8903488,3/0;03,730,.,3.0780850.,3343824078

    $0;039430507.039415,903989,730,.,7.342,,/,-3472,

    4:7589:/08:8390/4:-05574-0243947388902

    %8

    8:08989,92,35,90398:3/0743,730.942,84,;0

    ,89740845,0,701:!745,.9.:80417,39/3070.05947-4.07

    ,3/ 2094.457,2/0 574309. ,8 /0.70,80/ 90 3./03.0 41

    5,734.:9,304:8189:,,3/9020,3039414859,89,,1907949,

    ,730.942

  • 8/3/2019 Pharyngocut.fistula

    9/18

    .0

    0,870.0;0/3.70,83,9903943,8,574850.9;01,.9471475489

    4507,9;0.425.,9438%08:9,-9418:7.,.,3//,908-,80/43

    .74344.,,0,8-003,84:7.041.43974;078%7,/943,

    5,9039824709,30,7841,0,70570/85480/944:3/70,90/

    .425.,94383.:/3!1472,943

    /!704507,9;097,.048942

    %7,.04894281706:03950714720/1472470,/;,3.0/9:2478%080

    ,70:8:,/:094,7,4-897:.943,95708039,9433020703.

    89:,9438988:8:,50714720/3,-,.907,.439,23,90/10/,3/

    982,.4397-:90945489949,,730.942!189:,1472,943

    0%:24789,0,3/,730,890

    %0804190572,79:247,8340110.943!1472,943,94:

    8:57,499.9:2478,;0831.,392470189:,89,3499.9:2478

  • 8/3/2019 Pharyngocut.fistula

    10/18

    %0,997-:90/98940903843418:57,499.9:247809079490

    ;,0.:,4794905714721488,.43806:039706:730.84341,70

    5,79415,730,2:.48,.708:90/3.48:70-0350714720/

    :3/078420903843

    1!704507,9;00244-3

    45704507,9;00244-33.70,808903./03.041!33014/

    %87803903:2-07870,90/82594,/0.70,80

    4190403

    .,77,09490705,7890-900,244-35447-44/9:8

    570/854839454474:3/0,3

    !704507,9;07,/,943

    9803439,977,/,90/988:0,.844/988:0.7.:,9438

    17,-0,3/2:89-0,3/0/24700399,334377,/,90/988:03

    90,.:905,80/:7390/0;07417,/4907,5.089,970:,747

    7,5//;/0/,700/0,/394,.:9094.0110.988:.,8/072,998

    472:.4898%080.43/47.743.5,80417,/4907,53:7708:98

  • 8/3/2019 Pharyngocut.fistula

    11/18

    1742900110.984177,/,943433,9;0988:0,7003/,790798

    4-907,380.088;01-7488/0.70,8041.0:,7705.,943,3/

    /87:5943414:3/0,3-988:08.02,,3/25,70/

    ,3403088

    33.70,803903:2-0741!870,90/94903.70,804190

    7,/,94310/80/4803.702039,3/,.,301742.4393:4:894

    17,.943,90/7,/,943907,5

    ,3:97943

    %03./03.0412,3:97943,8-0037054790/390907,9:70-09003

    9435,9039890,/,3/30..,3.078!,9039892470

    9,309488390243985747948:707070,9

    70,90897814790/0;0452039412,4754894507,9;0

    .425.,9438

    8:9:702,907,

    %0708,89,989.,831.,39/110703.03901472,94341!

    -09003;.7,3/.,9:974:5831,;4741;.7.,870,907

  • 8/3/2019 Pharyngocut.fistula

    12/18

    9038089703908831,22,94770,.943,3/,8,4307,110

    !489;08:7.,2,738

    !70803.0413197,90/2,7382,05,390071706:03.41

    189:,1472,943,8,708:941/01.0390,3574.0884..:773,990

    8:7.,4:3/07090570803.041909:247.082,30,9;0

    31:03.0900,3574.088,3/4:3/.48:70

    ',8.:,7/80,80870,90/948243,3/,.44/733

    %82,5,,:07400850.,190708.3.,0;/03.041

    ;,8.:,7/80,80',74:820.,38282,05,398,884.,943

    .49303/:.0/;,84.43897.9430,/894290/5071:843,3/940907

    9.,7-432434/03/:.0/.0:,754,708:983/0.70,80/

    988:0403903843.,:8370/:.9433.4,03/0548943,3/90380

    8970393904:3/

    090.943415,734.:9,304:8189:,

  • 8/3/2019 Pharyngocut.fistula

    13/18

    %8.,3-0,..42580/-.,701:54894507,9;0243947341

    %02507,9:70

    0;073900,754894507,9;05074/17894:785,79.:,703

    .4770.90/147,900.9,88,3/530:243,8,30.0039570/.94741,

    189:,1472,94389:,/0;0450/341905,9039890,7

    54894507,9;010;07.425,70/943419480

    94:910;07

    4:3/,2,80.43.0397,943

    2,808,303205708039382,,24:398390807:2&

    ,3/3908,;,&7,3,2,80&43/,4305489

    949,,730.9428,570/.94741!/0;0452039

    #,/44.,880882039

    -,7:28,4;/040845,047,283/.,90/35,903989838

    ,3/82594288:089;041,32503/3189:,10;074:3/07902,

    4:3/8034750788903900;,90/30./7,34:95:994-0,3

    0.0039570/.94741,.3.,189:,

  • 8/3/2019 Pharyngocut.fistula

    14/18

    ,3,02039415,734.:9,304:8189:,

    %02,3,0203941!8,.,030147908:7043,3/905,9039

    ,059438,70,81448

    43807;,9;0970,92039

    %0.43807;,9;0970,920394190!,2894570807;0,3/708947090

    3:70/704398,.4250/3,2.,3/88902.574.088/0503/34390

    0307,0,9.43/94341905,9039,3/.,3-0/0,0/-80;07,39738.

    1,.9478,0570089320/.,/80,8087,/4907,554473:979434

    0244-3.84:/-0/03910/347/0794574249090.4393:94190

    970,92039574.088

    ,770.4394341,189:,.,3570;03980.43/,74:3/.425.,9438,3/

    70/:.0903./03.041.,9,89745..425.,943870,88:85.4:81471:/

    .40.94384:/-0,857,90/,3/15:7:03.0478,;,7.439,23,9438

    /090.90/090747,94384:/-0/430220/,90-45033908:9:70308

    %0/7,3,0/;07990189:,1742.79.,897:.9:7088:.,890.,749/

    80,9,3/5489074797,.0,,

  • 8/3/2019 Pharyngocut.fistula

    15/18

    %02547,790.36:08.,3-0:80/

    ,$.438059,-:99438/08.7-0/,8,902547,72,3,0203941800.90/

    !.,7034924709,3.2380,3/90.,808.,3349-0705,70/3,

    70,843,-05074/41920%070840;07942931,.947870,90/9490

    :80419890.36:0

    W.4894190-:9943

    W!70;039885439,304:8.48:70

    907549039,.425.,94383.:/0074843418:774:3/3988:0,3/

    ,857,9434190-:994319894482,14790189:,45033

    -0.70,808,;,943-30.9434149:3:2%43%

    30.93%394905,749/,3/8:-2,3/-:,7,3/813497080.90/9

    30./880.9433-498/08:3/07:97,84347,5.:/,3.0,8:80/3

    97005,903989!,;044/708:98

  • 8/3/2019 Pharyngocut.fistula

    16/18

    $:7.,2,3,02039

    $0;07,,79.08390907,9:70/08.7-0/90.36:089,9,70:80/1478:7.,

    .48:704190!%0/0;,7094170.43897:.9;0574.0/:708/08.7-0/

    3/.,90890,.41,83070,-04507,9;0,5574,.9,9.,3-0:80/3,

    .,808%88/:0949070,9/110703.083!5708039,94340;0790

    573.5041!189:,.48:708908,203,.,808,3/700843908250

    1,.99,9,189:,2:89-0.480/-940590,8:71,.0843094574;/0,3

    39073,33,3/9080.43/14709073,.4;07

    !,;0-003.,8810/,..47/39484:7.041988:0:80/370.43897:.94394

    97009508

    W%50189:,89,9070-49988:08:71,.08.,3-0574;/0/4.,

    W%50189:,430988:08:71,.0.,3-0574;/0/4.,,3/904907

    2:89-0574;/0/1742,/89,3.0

    W%50189:,8,189:,9,9706:708-498:71,.081742/89,3.0

    $:7.,2,3,0203983/.,90/3.,808070.43807;,9;0

    2,3,020391,8,3/189:,507889805483905,903994.4393:4:8

    8,;,70,930703978841310.943,857,943.,749/,7907

    0548:70,3/0;037:59:70

  • 8/3/2019 Pharyngocut.fistula

    17/18

    %0923418:7.,705,741,189:,8349.0,7390907,9:708420

    8:0890/147954894507,9;0/,8

    ,3459438,70,;,,-0147

    70.43897:.94341!189:,.3.:/08

    !72,7.48:70

    !72,7.48:7041!87,705488-0-:92,-0.438/070/382,189:,

    3.,8083.90708232,8:774:3/38419988:0488,3/90

    2:.48,800280,9,3/,/06:,90147.48:70

    4.47043,1,58

    W4.:9,304:81,58

    %050.947,82,471,541107890-0301941,30.0039

    ;,8.:,750/.0%0,9882:8/478,3/9097,50:81,58

    705708039,;,,-024.:9,304:81,5894;0738310/-

    2:8.:4.:9,304:8507147,93;08808%0801,58,;0-003:80/

    14740845,045,730,70.43897:.943-:9,702:.088

    ,/;,39,04:89,390;078,90/:7,-050.947,82,47

    W:8.01,58

    $90734.0/42,894/2:8.01,58,84:80/147189:,.48:70.

    ,8,/;,39,084147,-02,8844/.4;07,0,3/83089,0

  • 8/3/2019 Pharyngocut.fistula

    18/18

    70.43897:.943

    7001,58

    W#,/,1470,7217001,53.43:3.94399043942078,;,7

    -5,889:-070;0,0/44/708:9814770.43897:.94341/010.984190

    545,73,3/.07;.,40845,:8

    %04394207-5,889:-0

    8903989070.43897:.943,3//0.70,808900548:704190,3,894249.

    8:9:7030948,;,

    W478,850/81,58,8:9,-0.4.03902,3,0203941,70

    5,734.:9,304:8189:,

    0.,:809097,3810770/988:0398,70,8

    57010770/94-0,/06:,905,-0,3/93.,110.9890,08909.,3/

    1:3.943,4:9.42083904907,3/90,;0870,9;0088

    .4385.:4:88.,743901449.2,-09907,..0590/-905,90398

    -0.,:804198088349.0,-04.,943