摘要
目的探讨和总结原发性气管、支气管肿瘤的外科治疗方法。方法2000年4月至2005年2月对12例原发性气管、支气管肿瘤患者进行外科手术治疗,对患者的临床资料进行回顾性分析。经颈横切口手术1例;气管袖式切除5例;隆突加右上肺切除并隆突重建,左主支气管与气管端端吻合,右中间支气管与左主支气管端侧吻合5例;气管隆突切除重建,右主支气管与气管端端吻合,左主支气管与右主支气管端侧吻合1例。结果全组手术患者均安全度过围手术期,无手术并发症。结论原发性气管、支气管肿瘤的外科治疗应根据患者个体条件的不同,选择不同的麻醉方式、手术方式。
Objective To summarize the experiences in surgical treatment of primary tracheobronchial tumor. Methods We retrospectively reviewed the data of 12 patients who underwent the resections for tracheobronchial tumor from April 2000 to February 2005. There were 6 segmental resections with direct anastomosis, 6 complex resections in which the carina was involved. Results There was no death during operation or complications. Conclusion Resection of tracheal tumors is particularly challenging when the neoplasm involves the carina. Complete resection of primary tracheobronchial tumor is mandatory, and sleeve lobectomy and carina resection are beneficial to the patients suffering primary tracheobronchial tumor. The different mode of anaesthesia and operation should be selected according to individuals＇ conditions respectively.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2005年第24期2444-2446,共3页
Journal of Third Military Medical University
关键词
气管
支气管肿瘤
外科治疗
原发性
tracheobronchial tumor
surgical treatment
primary tumor
