原发性气管肿瘤的诊断与外科治疗  

The Experience of Surgical Treatment on Primary Tracheal Tumors in 23 Cases

作　　者：许顺[1] 李文雅[1] 张林[1] 李玉[1] 韩立波[1] 胡永校[1] 赵惠儒[1] 陈东义[1] 殷洪年[1] 李厚文[1] 

机构地区：[1]中国医科大学附属第一医院胸外科,沈阳110001

出　　处：《中国医科大学学报》2009年第3期230-231,共2页Journal of China Medical University

摘　　要：目的探讨原发性气管肿瘤的临床表现、诊断及外科治疗。方法原发性气管肿瘤23例,其中恶性肿瘤18例,良性肿瘤5例。结果23例患者均行手术治疗,1例术后17d大咯血死亡;1例追加放疗1个月后出现气管食管瘘;1例因切除段较长,术后8d现吻合口瘘;余20例术后均恢复顺利,住院9～28d,平均16d。结论原发性气管肿瘤发病隐匿,易误诊,预后不佳,应积极行胸部CT和纤维支气管镜检查,力争早期诊断,采取以手术为主的综合治疗。Objective To evaluate the clinical manifestations, diagnosis and surgical treatment of primary tracheal tumor. Methods 23 patients with primary tracheal tumor were treated in our hospital from November 1995 to January 2007, including 18 cases of malignant tu- mors and 6 cases of benign tumors. Results All patients received surgical treatment. 1 patient died of severe hemoptysis after operation, tracbeo-esophageal fistula occurred in 1 patient after postoperative radiotherapy, and stoma fistula was found in 1 due to long resection of tra- cheal rings 8 days after operation. The others had an uneventful recovery,with the average hospital day of 16 days. Conclusion Attention must be paid to the primary, tracheal tumor because of its latent history, misdiagnosis tendency and bad prognosis. Early diagnosis and surgical treatment is recommended.

关 键 词：气管肿瘤 症状和体征 生物学特性 手术治疗 预后 

分 类 号：R734[医药卫生—肿瘤]