24例隆凸气管主支气管肿瘤的外科治疗  

Surgical Treatment of Tracheal and Main Bronchial Tumors(Report of 24 Cases)

作　　者：吴维继[1] 魏林法[1] 周鑫官[1] 蒋向民[1] 倪庆增[1] 张庆震[1] 

机构地区：[1]江苏省肿瘤防治研究所胸外科

出　　处：《中华胸心血管外科杂志》1999年第1期20-22,共3页Chinese Journal of Thoracic and Cardiovascular Surgery

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.

关 键 词：隆凸 气管肿瘤 支气管肿瘤 外科手术 

分 类 号：R734.105[医药卫生—肿瘤] R730.56[医药卫生—临床医学]