原发性气管肿瘤的外科治疗

• 作 者: 杨德康 陈汉章 吴哲凡 杨运有
• 机 构: 广州医学院第一附属医院胸外科!510120,广州医学院第一附属医院胸外科!510120,广州医学院第一附属医院胸外科!510120,广州医学院第一附属医院胸外科!510120
• 出 处: 肿瘤防治研究
• 发表日期: 1998年01期
• 关键词: 原发性气管肿瘤 气管节段切除 局部切除 腔内肿瘤 电灼术 节段节除 气管瘘 病理性质 气管下段 气管癌

自1991年6月至1996年11月，我们对原发性气管肿瘤23例进行手术治疗，其中良性肿瘤2例，恶性肿瘤21例，施行气管节段切除11例，侧壁切除6例，气管腔内肿瘤刮除加电灼术6例。术后无发生气管瘘、无手术死亡。术后1、3、5年生存率分别是86％、53％和21％。作者认为应根据气管肿瘤的病理性质，病变范围和外侵程度，酌情使用气管节段切除、侧壁切除和肿瘤刮除加电灼术。

From June 1991 to November 1996, we performed surgical treatment of 23 cases of primary tracheal tumors, including 2 benign tumors and 21 malignant tumors. We performed 11 cases of tracheal segment resection, 6 cases of lateral wall resection, and trachea. Intraluminal tumor scraping and electrocautery were performed in 6 patients. No tracheal spasm or death occurred after surgery. The 1-, 3-, and 5-year survival rates after surgery were 86%, 53%, and 21%, respectively. The authors believe that tracheal segment resection, lateral wall resection, and tumor scraping plus electrocautery should be used depending on the pathological nature of tracheal tumors, extent of lesions, and extent of external invasion.