气管、支气管成形术40例  

Tracheobronchoplasty:a report of 40 cases

作　　者：吴明拜[1] 库尔班[1] 陈刚[1] 张铸[1] 

机构地区：[1]新疆医学院第一附属医院胸外科

出　　处：《中华外科杂志》1997年第8期488-490,共3页Chinese Journal of Surgery

摘　　要：作者报告了４０例气管、支气管成形术的治疗体会。其中气管成形术３例，隆凸成形术２例，支气管成形肺切除术３４例，肺动脉成形术１例。术后并发症４例（１０％），手术死亡２例（５％）。恶性肿瘤３０例，随访１～１０年，术后１年、３年、５年、１０年生存率分别为８３．３％、５３．３％、４０％、２３．３％。作者对手术适应证及麻醉的处理、手术方法及结果进行了讨论。这种手术能最大限度地清除病灶和保留健肺，但其手术并发症和死亡率均高于肺癌常规手术。因此要严格掌握手术适应证。Tracheo bronchoplastic surgery with or without simultaneous arterioplasty was porformed in 40 cases of various bronchopulmanary diseases(benign in 8 and malignant 32).The operation consisted of reconstruction of trachea in 3 cases,plastic carinoplasty 2 cases,and bronchoplasty and pulmonary arterioplasty 1 case, sleeve resection of bronchus 34 cases.4 cases (10%) had postoperative complications.Two cases (5%) died shortly after operation.Thirty eigtht cases recovered.Thirty cases of malignant tumor were followed up from 1 to 10 years.The survival rates were 83 3%(25/30),53 3%(16/30),40%(12/30),23 3%(7/30) at 1,3,5 and 10 years respectively. We discussed indication,anesthetic management,surgical procedure and results.The indication must be controlled strictly. The operative procedure and postoperative management must be further improved because the complications and mortality of tracheobronchoplasty are higher than those of conventional resections.

关 键 词：气管 支气管 外科手术 成形术 

分 类 号：R653[医药卫生—外科学] R655.3[医药卫生—临床医学]