肺组织瓣内衬金属支架在气管重建中的临床应用  

Clinical application of tracheal reconstruction by using pulmonary tissue flap with alloy stent

作　　者：刘军[1] 石文君[1] 

机构地区：[1]中国医科大学盛京医院胸外科,辽宁沈阳110004

出　　处：《中国现代医学杂志》2011年第23期2935-2937,2940,共4页China Journal of Modern Medicine

基　　金：卫生部科技专项资助项目(No:WKZ-2000-1-17)

摘　　要：目的探讨自体肺组织瓣内衬金属支架在胸段气管重建中的临床应用。方法对5例胸段气管、主支气管病变的患者应用肺组织瓣内衬金属支架修补,完成气管重建。其中,气管中上段肿瘤1例,右主支气管瘢痕狭窄闭锁1例,气管下段混合瘤恶变1例,左主支气管类癌2例。结果 5例患者呼吸困难均明显缓解,重建气管无明显狭窄及肉芽组织形成。1例大咯血死亡,其余4例随访疗效稳定。结论肺组织瓣内衬金属支架重建治疗胸内气管广泛缺损,可在临床有选择地应用。【Objective】 To determine the clinical value of pulmonary tissue flap with alloy stent in the reconstruction of the thoracic trachea.【Methods】 5 patients were treated by the following operation： the lobe bronchia were ligated and the gas in the lung was ventinged to create pulmonary tissue flap.Then alloy mesh stent was placed in the pulmonary tissue flap.The compound artificial substitution was used to repair the thoracic tracheal defect.These patients included： one case of right common tracheal scarred stenosis,one case of mixed cancerization in the lower part of the trachea,one case of tracheal tumor in the upper part and two cases of left common tracheal carcinoid.【Results】 Dyspnea in all patients relieved rapidly after the operation.No stenosis and granulation tissue were observed in the prosthetic lumen.Four patients were good in follow-up,but one died for great hemoptysis after 14 months.【Conclusion】 Using autogeneic pulmonary tissue flap with alloy stent sometimes may be a choice to reconstruct the thoracic defect.

关 键 词：肺组织瓣 气管重建术 气管 

分 类 号：R655.3[医药卫生—外科学]