甲状腺癌侵犯气管的手术治疗

目的　探讨甲状腺癌侵犯气管的术式选择。方法　回顾性分析 2 3例侵犯气管的甲状腺癌患者的临床资料 ,根据术式不同分为 :根治性切除 18例 ,肿瘤剔除 3例 ,气管切开或气管造瘘 2例。结果　根治性切除的 14例长期生存 ,肿瘤剔除的 2例 3年内均复发 ,气管切开的 1例死于术后并发症 ,1例九个月后死于广泛转移。结论　甲状腺癌侵及气管宜采取根治性手术 ,重建气管 ,可提高患者治愈机会 ,改善生活质量

Surgical Treatment for Thyroid Carcinoma Invading Trachea

Objective To discuss surgical methods of thyroid carcinoma invading tracheal.Methods The clinical data of 23 patients with thyroid carcinoma invading the trachea were analyzed restrospectively.According to operative methods,radical resection was performed in 18 cases,tumor chisel in 3 cases and tsracheotomy or tracheostomy in 2 cases.Results Fourteen cases with tumor radical resection survived in dlong time,three caces with tumor chisel were all recurrent within three years,of two cases with tracheotomy,one died of postoperative complication and the other one died of extensive metastasis.Conclusions Radical operation and cervical trachea reconstruction were feasible in patients with thyroid carcinoma invading the trachea.Curative rate,survival time and life quality all can be improved.