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目的 探讨原发性气管腺样囊性癌的临床特征、诊断及治疗方法。方法 1 1例原发性气管腺样囊性癌患者 ,年龄 30～ 4 9岁。病灶位于气管上 1 / 3段 7例 ,其中 2例侵及喉 ,1例侵及环状软骨 ;气管中、下段各 2例。 1 1例患者均采取手术治疗 ,行气管袖状切除端端吻合术 5例 ,其中环状软骨部分切除、气管环状软骨端端吻合 1例 ;气管肿瘤局部刮除术 4例 ;颈段气管及全喉切除气管造口术 2例。结果 1 1例患者无手术死亡 ,术后均痊愈出院 ,远期并发症有气管造口狭窄 1例 ,复发 1例。结论 对原发性气管腺样囊性癌患者应力争早期诊断 ,积极手术治疗
Objective To investigate the clinical features, diagnosis and treatment of primary tracheal adenoid cystic carcinoma. Method 1 1 cases of primary tracheal adenoid cystic carcinoma patients, aged 30 to 49 years old. The lesion was located in 1/3 of the trachea in 7 cases, 2 of them invaded the larynx, 1 invaded the cricoid cartilage; and the other 2 in the middle and the trachea of the trachea. One case of patients were treated by surgery, and 5 cases of endotracheal tube resection of the trachea were resected, including partial resection of the annular cartilage and end-to-end anastomosis of the trachea in 1 case. Tracheotomy was performed in 4 cases. Trachea and total laryngectomy Tracheostomy in 2 cases. Results One hundred and one patients died without surgery and were discharged after operation. The long-term complications were tracheostoma stenosis in 1 case and recurrence in 1 case. Conclusion The primary tracheal adenoid cystic carcinoma patients should strive for early diagnosis and positive surgical treatment