异种脱细胞真皮基质修复膜修复甲状腺癌切除术后气管缺损13例  

Repair of tracheal defect after resection of thyroid carcinoma with acellular dermal matrix membrane

作　　者：徐增瑞[1] 张建新[1] 石继红[1] 蔡晓岚[2] 

机构地区：[1]天津市第四中心医院耳鼻咽喉头颈外科,天津300140 [2]山东大学齐鲁医院耳鼻咽喉科,山东济南250012

出　　处：《山东大学耳鼻喉眼学报》2015年第5期52-54,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的：探讨异种脱细胞真皮基质修复膜修复甲状腺癌切除术后气管缺损的可行性。方法甲状腺癌侵犯气管患者13例经甲状腺肿瘤切除、颈部淋巴结清扫、气管部分切除术，以异种脱细胞真皮基质修复膜修复气管缺损。结果术后随访36～53个月，11例患者气管腔无肉芽生长，管腔光滑，顺利拔管；2例拔管失败，气管内肉芽形成感染1例，气管修复处内陷1例。结论累及气管的甲状腺癌患者，可根据肿瘤切除后气管缺损范围，选择适当病例，以异种脱细胞真皮基质修复膜修复气管缺损，保障气道通畅。Objective To explore the feasibility of using acellular dermal matrix membrane in tracheal defect repair after thyroid carcinoma resection.Methods Clinical data of 13 patients who suffered thyroid cancer involving trachea were retrospectively analyzed.All tracheal defects were repaired with heterogeneous acellular dermal matrix membrane. Results During the follow-up of 20 to 53 months,1 1 cases removed tracheal tube smoothly,no granulation grew in trachea,and the lumen of repair site was smooth;2 cases failed to remove the tracheal tube,one of them developed in-fection of granulation,and the other had collapse of the repair site.Conclusion After resection of thyroid carcinoma involving the trachea,tracheal defect could be repaired by cellular dermal matrix membrane.Cases should be carefully selected in order to ensure the airway patency after operation.

关 键 词：异种脱细胞真皮基质修复膜 甲状腺肿瘤 气管缺损 组织修复 

分 类 号：R736.1[医药卫生—肿瘤]