摘要
目的：总结１９８０～１９９４年２４例隆凸、气管、主支气管肿瘤病人手术治疗经验。方法：行气管、主支气管袖状切除对端吻合术１７例、隆凸切除重建术６例、气管纵行开窗刮除肿瘤减压术１例。结果：术后死亡２例中１例吻合口瘘形成脓胸，术后２周死于呼吸衰竭；１例死于颈总动脉残端破裂大出血。余者１年生存率８１．８％（１８／２２），３年生存率５０．０％（１１／２２），５年生存率３６．４％（８／２２），１０年生存率２２．７％（５／２２）。结论：隆凸及气管手术比较复杂，手术难度大，但严格掌握手术适应证、选择合理的术式及麻醉方法，可以取得满意的疗效。
Aim:To review the experience in surgical treatment of tracheal and main bronchial tumors.Clinical material and method:From 1980 and 1994,24 patients with tracheal or main bronchial tumor underwent surgical resection.Surgical procedures performed included sleeve resection of trachea or main bronchus in 17,carinal resection and reconstruction in 6 and tumor removal through tracheall windows in 1.Result:There were two operative deaths with an operative mortality rate of 8.3%.The causes of death were acute respiratory failure in and severe postoperative bleeding in 1.The 1 year,3 year,5 year and 10 year survival rates were 81.0 %,50.7%,36.1% and 22.8%,respectively.Conclusion:Sleeve resection and reconstruction of trachea,main bronchus or carina can achieve excellent long term survival.It can be performed with no significant increase in operative mortality and morbidity.
出处
《中华胸心血管外科杂志》
CSCD
北大核心
1999年第1期20-22,共3页
Chinese Journal of Thoracic and Cardiovascular Surgery
关键词
隆凸
气管肿瘤
支气管肿瘤
外科手术
Tracheal tumor Resection and reconstruction of trachea and carina
