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目的 :探讨气管造口复发癌的治疗方法。方法 :气管造口复发癌患者共 31例 ,对怀疑有颈淋巴结转移的 12例行改良根治性颈清扫术。Ⅰ、Ⅱ型气管造口复发癌共 2 5例 ,均彻底切除肿瘤 ;Ⅲ、Ⅳ型共 6例 ,3例彻底切除肿瘤。 31例均采用胸大肌肌皮瓣修复颈部组织缺损。结果 :Ⅰ型 13例中 ,随访满 3年者 7例 ,死亡 4例。Ⅱ型 12例中 ,随访满 3年者 8例 ,死亡 5例。Ⅲ、Ⅳ型多在 3年内死亡。 31例中 ,咽瘘发生率为 12 .9%,气胸发生率为 9.7%。结论 :气管造口复发癌预后较差 ,对适合的病例行适当的手术治疗可延长患者生命 ,提高生存质量。
Objective: To investigate the treatment of recurrent tracheal stoma cancer. Methods: A total of 31 patients with recurrent tracheostoma were treated with modified radical neck dissection in 12 patients suspected of cervical lymph node metastasis. Type â ..., â ... ¡type tracheostoma recurrence of cancer were 25 cases were completely removed the tumor; â ... ¢, â ... ¢ type of 6 cases, 3 cases of complete removal of the tumor. 31 cases were using pectoralis major myocutaneous flap to repair neck tissue defects. Results: Among the 13 cases of type Ⅰ, 7 cases were followed up for 3 years and 4 died. Ⅱ type 12 cases, followed up for 3 years in 8 cases, 5 cases died. Ⅲ, Ⅳ type more than 3 years of death. 31 cases, the incidence of pharyngeal fistula was 12.9%, the incidence of pneumothorax was 9.7%. Conclusion: The prognosis of recurrent tracheal stoma is poor. Appropriate surgical treatment of suitable cases can prolong the life of patients and improve the quality of life.