当前长段气管重建的解决方案  

Current solutions for long segment tracheal reconstruction

作　　者：王尧 温皖豫 戴洁[1] 姜格宁[1] Wang Yao;Wen Wanyu;Dai Jie;Jiang Gening(Department of Thoracic Surgery,Shanghai Pulmonary Hospital,Tongji University,Shanghai 200433,China)

机构地区：[1]同济大学附属上海市肺科医院胸外科,上海200433

出　　处：《中华胸心血管外科杂志》2024年第4期251-256,共6页Chinese Journal of Thoracic and Cardiovascular Surgery

摘　　要：经过近百年胸外科的蓬勃发展,气管已不再是外科手术的禁区。一期切除与修复重建已经成为绝大多数气管疾病的首选治疗方案。但由于气管疾病的发病率较低,胸外科医师对此领域的技术理论和诊疗经验缺乏统一认知。尤其当涉及到长段气管病变时(≥4 cm),单纯的切除后一期吻合往往因张力过大,导致术后吻合口开裂、坏死甚至患者死亡的情况。因此,采取合理的手术方案和妥善的综合管理措施,是提高长段气管手术成功率的关键所在。本文对长段气管重建手术的主流治疗观点进行总结,并进一步介绍长段气管治疗的新技术、新进展。After nearly a century of robust development in thoracic surgery,the trachea is no longer considered off-limits for surgical interventions.One-stage resection and reconstruction have emerged as the first-selected treatment modality for the majority of tracheal diseases.However,due to the low incidence of such conditions,there exists a lack of consensus among thoracic surgeons regarding technical theories and diagnostic experience in this domain.Particularly when managing long-segment tracheal diseases(≥4cm),simple resection followed by one-stage anastomosis often leads to complications such as excessive tension,resulting in postoperative anastomotic dehiscence,necrosis,or even patient mortality.Therefore,adopting a rational surgical plan and implementing appropriate comprehensive management measures are crucial for enhancing the success rate of long segment tracheal surgeries.This article provides an overview of mainstream perspectives on long segment tracheal reconstruction surgeries while also introducing novel techniques and advancements in treating extended tracheal conditions.

关 键 词：胸外科医师 气管疾病 治疗观点 一期切除 修复重建 术后吻合口 手术方案 一期吻合 

分 类 号：R655.3[医药卫生—外科学]