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气管、支气管手术的临床经验

CLINICAL EXPERIENCE IN TRACHEAL AND BRONCHIAL OPERATIONS
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摘要 本文报道我院自1976年3月至1988年2月13例气管狭窄和16例支气管狭窄病人的手术经验。13例气管狭窄病人分别作气管环切对端吻合术,局部切除气管缝合术,应用游离皮片扩大狭窄的气管和塑料管气管内置术。16例支气管狭窄病人中有13例作右或左上叶袖式切除术,2例为左、右总支气管吻合术,1例为右中下叶切除和上叶支气管成形术。手术上要求支气管切端应距肿瘤约0.5cm以上,这样可保留很多正常组织而不残留肿瘤组织。 Thirteen patients with tracheal stricture and sixteen patients with bronchial stricture were operated on from March 1967 to Feb 1988. Thirteen patients with tracheal stricture had partial resection of trachea and end-to-end anastomosis, local resection and tracheostomy, or local resection and expansion of strictured trachea with free skin flap and endotracheal plastic tube stent. Among sixteen patients of bronchial stricture, thirteen patients underwent right or left upper sleeve lobectomy, two had anastomosis of right or left main bronchi and one bilobectomy of right middle and lower lobes with upper lobe bronchialplasty.The cut ends of bronchus should be 0.5cm away from the tumor, so that morenormal tissue is preserved and no residual tumor tissue remained.
出处 《上海医学》 CAS CSCD 北大核心 1989年第12期684-686,共3页 Shanghai Medical Journal
关键词 气管 支气管 手术
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