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目的探讨原发性气管肿瘤的临床表现、诊断及外科治疗。方法原发性气管肿瘤23例,其中恶性肿瘤18例,良性肿瘤5例。结果23例患者均行手术治疗,1例术后17d大咯血死亡;1例追加放疗1个月后出现气管食管瘘;1例因切除段较长,术后8d现吻合口瘘;余20例术后均恢复顺利,住院9～28d,平均16d。结论原发性气管肿瘤发病隐匿,易误诊,预后不佳,应积极行胸部CT和纤维支气管镜检查,力争早期诊断,采取以手术为主的综合治疗。
Objective To investigate the clinical manifestations, diagnosis and surgical treatment of primary tracheal tumors. Methods 23 cases of primary tracheal tumor, including 18 cases of malignant tumors, benign tumors in 5 cases. Results Twenty-three patients underwent surgical treatment and one died of hemoptysis on the 17th day after surgery. One case had tracheal esophageal fistula after one month of radiotherapy. One case had a long period of resection and anastomotic fistula occurred 8 days after operation. Another 20 cases Postoperative recovery was smooth, hospital 9 ~ 28d, an average of 16d. Conclusions The primary tracheal tumor is occult and easily misdiagnosed with poor prognosis. CT and fiberoptic bronchoscopy should be performed actively in order to make early diagnosis and take the comprehensive operation based on surgery.