【摘要】 目的 总结原发气管隆凸部肿瘤的诊治经验。方法 回顾性分析自1989年～1998年对9例气管隆凸部肿瘤患者施行气管隆凸切除重建术(经左胸或右胸径路)的治疗结果。结果 平滑肌瘤、神经纤维瘤、类癌、鳞状细胞癌各1例,腺癌2例,腺样囊性癌3例。本组无手术死亡,术后无严重并发症出现,恶性肿瘤患者3年生存率42.9％。结论 做好围术期的处理和采用恰当的手术操作方式可以降低气管隆凸切除重建术后并发症的发生率及死亡率。更多还原

【Abstract】 From Ocl. 1989 to Dec. 1998, 9 patients aged 12 -67 years underwent carinal resection and reconstruction through right or left intercostal space thoracolomy. No important postoperative complications occurred and there were no perioperative deaths. Leiomyoma, neurofibroma, carcinoid and squamous cell carcinoma was found in one patient respectively, adenocarcinoma in 2 patients, adenoid cystic carcinoma in 3 patients. The actuarial 3-year survival rate for patients with malignant tumors was 42. 9% . In order to diagnose early and correctly, bronchoscopy and computed tomography should be used. The end-to-end anastomosis of trachea with bilateral bronchi is the optimal choice among the modes of carinal reconstruction. Some principles of surgery and perioperative care are discussed.更多还原