摘要
目的探讨气管隆突支气管成形术的手术方式和效果。方法对33例气管隆突支气管肿瘤和8例气管支气管外伤均采用了成形术,其中全隆突或部分隆突成形5例,支气管袖状成形21例,气管支气管成形15例。结果本组无手术死亡,其中1例外伤患者术后发生吻合口狭窄;1例右肺上叶袖状切除加上腔静脉置换患者术后3个月死于骨转移,其余29例恶性肿瘤患者术后1、3、5年存活率分别为86.2%(25/29)、55.2%(16/29)、37.9%(11/29)。结论气管隆突支气管成形术可用于气管隆突支气管肿瘤或外伤患者,能达到既切除病灶,修复损伤,又保留正常肺组织,延长患者存活时间,提高术后生活质量的目的。手术成功的关键在于术式的选择、吻合或缝合技术、麻醉及术后处理。
Objective To investigate the surgical indications and surgical methods of tracheal carinate bronchial plasty.Methods The tracheal carinate bronchial plasty was preformed in 33 patients with tracheal carinate bronchial tumor and 8 patients with tracheal bronchial injury.The surgical procedure performed included all or part of carinate plasty in 5,bronchial sleeve plasty in 21,tracheal bronchial plasty in 15.Results There was no operative death,but one traumatic patient had anastomotic stricture.One case of right upper lobe bronchial sleeve resection with superior vena cava replacement died from bone metastases 3 months after operation.The 1-,3-,5-year survival rate of the remaining 29 patients of malignant tumor were 86.2%,55.2%,37.9% respectively.Conclusions Tracheal carinate bronchial plasty can be applied to patients with tracheal carinate bronchial tumor or injury,to achieve both the removal of lesions,and to retain the normal lung tissue,so as to prolong survival time and improve the postoperative quality of life.It is the key to success of the choice of surgical approach,anastomosis or suture techniques,anesthesia and postoperative treatment.
出处
《中国现代手术学杂志》
2011年第1期23-25,共3页
Chinese Journal of Modern Operative Surgery
