原发性气管肿瘤的诊断与外科治疗

目的 :探讨原发性气管肿瘤的诊断与外科治疗问题。方法 :分析 11例气管肿瘤的临床资料 ,其中 9例为手术病例 ,行气管开窗取瘤术 2例 ,气管侧壁切除肌瓣填塞修补术 1例 ,气管环行切除对端吻合术 6例。结果 :本组病例早期全部误诊 ,误诊时间 3个月～ 2年 ,手术病人均术后恢复顺利 ,无手术死亡 ,无切口感染及呼吸、循环系统严重并发症 ,随访 1～ 5年 ,4例良性肿瘤病人均存活 ,5例恶性肿瘤病人手术切除者术后生存 5年以上 1例 ,1～ 3年 2例 ,死亡 2例。结论 :应提高临床医师对原发性气管肿瘤的认识 ,外科手术治疗是提高气管肿瘤病人生存率的有效方法

DIAGNOSIS AND SURGICAL TREATMENT OF TRACHEA CARCINOMA

ObjectiveTry to find how totake diagnosis and surgical treatment of trachea carcinoma.MethodAnalyzing the clinicalmaterials of 11 cases of trachea carcinoma.9 of them were performed and the tumor of 2were taken out with operation.One case was made up with a muscle petal from the wall atthe side of the trachea;six cases were inosculated at the opposite side with annularremovement on the trachea.ResultThe diagnosis of these cases were completely wrong atfirst from 3 months to 2 years.All the patients recovered smoothly after operation andthere were no death no infection and no complications in the respiratory system andcirculatory system.In the 1 to 5 years during the following up.4 cases of benign tumorwere living one lived for more than five years,2 cases for 1 to 3 years,and 2 death amongthe 5 cases of malignant tumor.ConclusionPay attention to heighter primary affection oftrachea tumor.And operation is an effective way for raising livability of trachea tumor.