CAJ | 학술논문

目的总结原发性气管肿瘤的临床诊治经验,提高其诊断治疗水平.方法 63例原发性气管肿瘤患者中,61例行手术治疗,2例行激光治疗.61例手术治疗的患者中,行气管袖状切除端-端吻合22例,气管隆嵴切除重建术6例,半隆嵴切除重建6例,颈段气管肿瘤及垂直半喉切除+胸锁乳突肌瓣喉室气管缺损重建术2例,气管肿瘤局部切除17例,气管切除造口术4例,颈段气管切除+甲状腺部分切除+食管肌层切除术1例,颈段气管切除+全喉切除+单纯气管切除造口术1例,隆突搔刮术2例.结果 63例患者中,恶性肿瘤42例,良性肿瘤21例.61例手术治疗的患者中,术后出现并发症8例,其中发生气管纵隔胸膜瘘2例,因喉返神经损伤出现声音嘶哑1例,气管狭窄1例,胸膜腔感染1例.围手术期死亡3例.结论原发性气管肿瘤临床表现不典型,易误诊,气管恶性肿瘤预后不佳.解除气道梗阻是治疗气管肿瘤的主要目的 .
목적 총결원발성기관종류적림상진치경험,제고기진단치료수평.방법 63례원발성기관종류환자중,61례행수술치료,2례행격광치료.61례수술치료적환자중,행기관수상절제단-단문합22례,기관륭척절제중건술6례,반륭척절제중건6례,경단기관종류급수직반후절제+흉쇄유돌기판후실기관결손중건술2례,기관종류국부절제17례,기관절제조구술4례,경단기관절제+갑상선부분절제+식관기층절제술1례,경단기관절제+전후절제+단순기관절제조구술1례,륭돌소괄술2례.결과 63례환자중,악성종류42례,량성종류21례.61례수술치료적환자중,술후출현병발증8례,기중발생기관종격흉막루2례,인후반신경손상출현성음시아1례,기관협착1례,흉막강감염1례.위수술기사망3례.결론 원발성기관종류림상표현불전형,역오진,기관악성종류예후불가.해제기도경조시치료기관종류적주요목적 .
Objective To summarize the experience in diagnosis and treatment of primary tracheal tumors, and to improve the life quality of patients. Methods Sixty-three patients with primary tracheal tumors treated in the First Affiliated Hospital of China Medical University during the past 40 years were included in this study, among them, there were 42 cases of malignant tumors and 21 cases of benign tumors. The 61 patients underwent surgery including tracheal sleeve resection (22), carinal resection and reconstruction (6), semi-carinal resection and reconstruction (6), tracheal resection for tracheal tumors (17) ;tracheostomy (4), tracheal resection, partial resection of the thyroid (goiter) and esophagomyotomy (1), tracheal tumor resection and vertical hemilaryngectomy with reconstruction of laryngeal ventricle and trachea by sternocleidomastoid flap (2), cervical trachea and laryngeal resection (1), and carinal scrape (2). Results Fifty-five patients had an uneventful recovery. Eight patients suffered from postoperative complications, among them 3 patients died postoperatively. Conclusions Primary tracheal tumors often present atypical symptoms, are easily misdiagnosed and with poor prognosis. The main aim of treatment remains to remove the airway obstruction.