中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2008年
32期
19-21
,共3页
林强%沈振亚%澹台冀激%吉春宇
林彊%瀋振亞%澹檯冀激%吉春宇
림강%침진아%담태기격%길춘우
气管肿瘤%胸外科手术%治疗
氣管腫瘤%胸外科手術%治療
기관종류%흉외과수술%치료
Tracheal,neoplasms%Thoracic surgical procedures%Therapy
目的 总结恶性气管肿瘤的外科手术治疗临床经验.方法 回顾性分析258例恶性气管肿瘤患者的外科治疗资料.病理多为腺样囊性癌(104/258)和鳞状细胞癌(93/258).手术方式以气管环形切除对端吻合术为主共157例,隆凸切除重建术51例,袖式全肺切除术22例,开窗取瘤术23例,同种异体气管移植术2例,采用体外循环辅助下气管环形切除吻合术3例.结果 本组无手术死亡病例.5、10年生存率分别为64.0%(165/258)和58.1%(150/258).手术后并发症共14例,发生率为5.4%.结论 手术切除是治疗恶性气管肿瘤最有效的方法.气管环形切除对端吻合术和隆凸重建术是治疗恶性气管肿瘤的主要术式,降低手术并发症是取得良好手术疗效的关键.
目的 總結噁性氣管腫瘤的外科手術治療臨床經驗.方法 迴顧性分析258例噁性氣管腫瘤患者的外科治療資料.病理多為腺樣囊性癌(104/258)和鱗狀細胞癌(93/258).手術方式以氣管環形切除對耑吻閤術為主共157例,隆凸切除重建術51例,袖式全肺切除術22例,開窗取瘤術23例,同種異體氣管移植術2例,採用體外循環輔助下氣管環形切除吻閤術3例.結果 本組無手術死亡病例.5、10年生存率分彆為64.0%(165/258)和58.1%(150/258).手術後併髮癥共14例,髮生率為5.4%.結論 手術切除是治療噁性氣管腫瘤最有效的方法.氣管環形切除對耑吻閤術和隆凸重建術是治療噁性氣管腫瘤的主要術式,降低手術併髮癥是取得良好手術療效的關鍵.
목적 총결악성기관종류적외과수술치료림상경험.방법 회고성분석258례악성기관종류환자적외과치료자료.병리다위선양낭성암(104/258)화린상세포암(93/258).수술방식이기관배형절제대단문합술위주공157례,륭철절제중건술51례,수식전폐절제술22례,개창취류술23례,동충이체기관이식술2례,채용체외순배보조하기관배형절제문합술3례.결과 본조무수술사망병례.5、10년생존솔분별위64.0%(165/258)화58.1%(150/258).수술후병발증공14례,발생솔위5.4%.결론 수술절제시치료악성기관종류최유효적방법.기관배형절제대단문합술화륭철중건술시치료악성기관종류적주요술식,강저수술병발증시취득량호수술료효적관건.
Objective To summarize the clinical experience of surgical treatment of malignant tra-cheal tumor.Methods Two hundred and fifty-eight medical charts about surgical treatment of malignant tracheal tumor between July 1980 and July 2007 were retrospectively reviewed.The main histological type were adenoid cystic carcinoma (104/258) and squamous cell carcinoma (93/258).Operative methods in-cluded circumferential resection end to end anastomosis of trachea (n=157),carinal resection and re-construetion (n=51),sleeve pneumonectomy(n=22),windowing removal(n=23),tracheal allotrans-plantation(n=2),circumferential reflection and anastomosis of trachea with assistance of extracorporeal cir-culation (n=3). Results No patient died from operation in the 258 cases,and the overall 5-and 10-year survival rates were 64.O%(165/258)and 58.1%(150/258),respectively.The morbidity rate was 5.4%(14/258).Conclusiom Surgical excision is the most effective treatment of malimmnt tracheal tumor.Tracheal resection and carinal reflection are the main operative methods in the treatment of malignant tracheal tumor.Decreasing operative complications is the key of successfully surgical treatment.
