论文部分内容阅读
目的探讨颈部恶性肿瘤放疗后超过3个月行气管切开术9例患者的疗效。方法颈部不同部位和类型的恶性肿瘤患者9例,在放疗后5~10个月因颈段气道狭窄致机械性呼吸困难,紧急实施气管切开术,术中和术后观察呼吸改善情况和监测血氧饱和度。结果 9例患者经气管切开术后呼吸困难得到明显缓解,吸氧或不吸氧条件下监测血氧饱和度(Sa O2)>90%。术后气管套管均保持通畅,未出现明显呼吸困难,随访期间均死于肿瘤转移或者晚期多器官功能衰竭。结论气管切开术仍是解决颈部恶性肿瘤患者放疗后由于肿瘤未控引起颈段气道狭窄的一种有效手段,但需谨慎操作。
Objective To investigate the curative effect of tracheotomy in 9 patients with malignant neoplasm of the neck over 3 months after radiotherapy. Methods Nine patients with malignant tumor of different parts and types in the neck were treated with tracheotomy emergency because of the mechanical dyspnea caused by airway stenosis in 5 to 10 months after radiotherapy. The improvement of respiration was observed intraoperatively and postoperatively And monitor the oxygen saturation. Results Nine patients were relieved of dyspnea after tracheotomy, with a blood oxygen saturation (Sa O2)> 90% monitored with or without oxygen. The tracheal tube remained unobstructed and no obvious dyspnea was found. All patients died of tumor metastasis or advanced multi-organ failure during follow-up. Conclusion Tracheotomy is still an effective method to solve the problem of airway stenosis caused by uncontrolled cervical cancer after radiotherapy in patients with cervical cancer, but caution is needed.