【摘要】 目的总结原发性气管、隆突肿瘤外科治疗经验。方法回顾分析我科2001~2010年手术治疗48例气管、隆突肿瘤的临床资料,气管环形切除+对端吻合35例,气管+隆突切除重建12例,气管楔形切除1例;5例术中辅助体外循环。结果无围手术期死亡,临床治愈41例(85.4%);术后随访7个月~7年,死亡5例(10.4%),生存至今43例(89.6%),其中生存5年及以上者9例(18.8%);5例术中辅助体外循环28~46 min,平均36 min,麻醉满意。结论气管、隆突肿瘤外科手术疗效确切,合理选择手术方式,适当应用体外循环技术可提高手术安全性。更多还原

【Abstract】 Objective To accumulate experience of surgical treatment of primary tracheal or carinal tumors.Methods There were 48 patients with tumor of trachea or carina underwent surgical treatment analyzed from 2001 to 2010,resection and reconstruction of trachea in 35 patients,carinal resection and reconstruction in 12 patients,and trachea wedge resection in 1 patient.Cardiopulmonary bypass was required in 5 patients for nearly complete obstruction of the trachea.Results none patients died perioperatively.41 cases(85.4%) were clinical cured.Follow-up was complete up to June 2010 or to the date of death.5 cases(10.4%) were died,43 cases(89.6%) survived,with 9 cases(18.8%) over 5 years.The assisted time last from 28 to 46 min in the 5 cases which required cardiopulmonary bypass,with average time 36 min,and good anesthesia was gain.Conclusion Surgical treatment of primary tumor of trachea and carina shows exact effect,proper operation method should be chosen,the operation can be safer by reasonable assist of cardiopulmonary bypass.更多还原