气管隆凸切除重建、支气管肺动脉成形术治疗呼吸道肿瘤  

Tracheal and carinal resection and reconstruction, and bronchoplasty and pulmonary arterioplasty in the treatment of respiratory tract tumor

作　　者：钟锋[1] 何家贤[1] 陈桂荣[1] 黄俊[1] 钟文熹 

机构地区：[1]广西梧州市红十字会医院胸心外科,543002

出　　处：《中国临床实用医学》2008年第8期37-39,共3页China Clinical Practical Medicine

摘　　要：目的总结气管隆凸切除重建、支气管肺动脉成形术在呼吸道肿瘤外科治疗中应用的临床实践经验，探讨合理的手术方式及治疗策略。方法回顾分析1998年1月至2008年3月，笔者采用10种不同类型的气管隆凸切除重建、支气管肺动脉成形术对24例呼吸道肿瘤患者进行手术治疗的临床资料。结果本组姑息切除2例；手术近期死亡1例（4．17％）；手术并发症6例，发生率为25．00％；呼吸道恶性肿瘤患者术后1年、3年和5年生存率分别为72．3％，51．6％，20．4％；3例良陛肿瘤患者至今均生活良好。结论灵活应用气管隆凸切除重建、支气管肺动脉成形术治疗呼吸道肿瘤，能扩大手术适应证，减少全肺切除和单纯剖胸探查的比例，并改善患者的生活质量，取得了较满意的效果。Objective To summarize the clinical practical experience of tracheal and carinal resection and reconstruction, and hronchoplasty and pulmonary arterioplasty in the surgical treatment of respiratory tract tumor. To investigate the rationalization of the surgical methods and treatable tactics. Methods From January 1998 to March 2008, the clinical datas of surgical treatment of twenty-four patients with respiratory tract tumor who underwent ten patterns of tracheal and carinal resection and reconstruction ,and hronchoplasty and pulmonary arterioplasty were retrospectively analyzed. Results Four cases received palliative operation ; Four patients （4. 17% ）died in the perioperative period; 6 （25.00%）patients had operative complications; The 1- ,3-and 5-year survival rates for respiratory tract malignant tumor were 72.3% ,51.6% and 20.4%, respectively. Conclusion Proper selection of tracheal and earinal resection and reconstruction, and bronehoplasty and pulmonary arterioplasty can decrease the proportions of total pneumonectomy and exploratory thoraeotomy and expand the indeation of operation, and can improve the postoperative quality of life and the prognosis of respiratory tract tumor.

关 键 词：气管肿瘤 气管隆突重建术 支气管成形术 肺动脉成形术 

分 类 号：R734[医药卫生—肿瘤]