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目的总结原发性气管肿瘤外科手术治疗的临床经验。方法回顾性分析我科1978￣2005年27例,颈段8例,胸上段4例,胸下段15例原发性气管肿瘤的外科治疗临床资料。结果颈领式切口7例,颈纵隔切口12例,右后外径路8例。长度:气管切除最大长度、平均长度,颈领式切口为4.4、3.3cm;颈纵隔切口为5.1、3.9cm;右后外径路为5.4、4.1cm。良性肿瘤3例,恶性肿瘤24例。其中腺样囊性癌和鳞癌是最常见的类型。5年生存率为66.7%(12/18)。结论手术切除是治疗气管肿瘤最有效的方法。气管节段切除气管重建是治疗气管恶性肿瘤的主要术式。
Objective To summarize the clinical experience of primary tracheal tumor surgery. Methods Retrospective analysis of 27 cases of our department from 1978 to 2005, 8 cases of cervical, 4 cases of upper thoracic and thoracic 15 cases of primary tracheal tumor surgical treatment of clinical data. Results Neck collar incision in 7 cases, cervical mediastinal incision in 12 cases, right posterior external diameter of 8 cases. Length: The maximum length of tracheotomy, the average length, neck collar incision 4.4,3.3cm; cervical mediastinal incision 5.1,3.9cm; right rear outer diameter of 5.4,4.1cm. 3 cases of benign tumors, 24 cases of malignant tumors. Of which adenoid cystic carcinoma and squamous cell carcinoma are the most common types. The 5-year survival rate was 66.7% (12/18). Conclusion Surgical resection is the most effective way to treat tracheal tumor. Tracheal resection Tracheal reconstruction is the main surgical treatment of tracheal malignancies.