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目的:总结1980~1994年24例隆凸、气管、主支气管肿瘤病人手术治疗经验。方法:行气管、主支气管袖状切除对端吻合术17例、隆凸切除重建术6例、气管纵行开窗刮除肿瘤减压术1例。结果:术后死亡2例中1例吻合口瘘形成脓胸,术后2周死于呼吸衰竭;1例死于颈总动脉残端破裂大出血。余者1年生存率81.8%(18/22),3年生存率50.0%(11/22),5年生存率36.4%(8/22),10年生存率22.7%(5/22)。结论:隆凸及气管手术比较复杂,手术难度大,但严格掌握手术适应证、选择合理的术式及麻醉方法,可以取得满意的疗效。
OBJECTIVE: To summarize the experience of surgical treatment for 24 patients with protuberances, trachea, and main bronchial tumors from 1980 to 1994. METHODS: Thirteen cases of tracheal and main bronchial sleeve resection and end-to-end anastomosis were performed. Six cases were treated by resection and reconstruction. One case was cured by decompression of the trachea. RESULTS: Among the 2 cases died of postoperative complications, anastomotic fistula developed empyema and died 2 weeks after respiratory failure. One patient died of major carotid stump rupture. The remaining one-year survival rate was 81.8% (18/22), the 3-year survival rate was 50.0% (11/22), the 5-year survival rate was 36.4% (8/22), and the 10-year survival rate was 22. 7% (5/22). Conclusion: Hyperplasia and tracheal surgery are complicated and difficult to operate. However, strict indications for surgical indications, reasonable surgical procedures and anesthetic methods can achieve satisfactory results.