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目的 :总结原发性气管肿瘤的治疗经验 ,探讨合理的手术方法及治疗措施。方法 :回顾分析我院 9例患者临床资料。结果 :气管节段切除 7例 ,气管对端吻合 6例 ,人造血管间置 1例 ,放疗 2例 ,在手术 7例中腺癌 2例 ,腺样囊性癌 3例 ,类癌 2例 ,术后 30d内死亡 1例。失访 2例 ,17月死于局部复发及肺转移 1例 ,其余随访6个月～ 7年仍健在。结论 :外科手术是治疗气管肿瘤的有效方法 ,应安全性与根治性同时兼顾 ,围术期处理应予重视。
OBJECTIVE: To summarize the experience of treatment of primary tracheal tumors and to explore reasonable surgical methods and treatment measures. Methods: The clinical data of 9 patients in our hospital were retrospectively analyzed. Results: There were 7 cases of resection of trachea segment, 6 cases of tracheal anastomosis, 1 case of artificial vascular placement, 2 cases of radiotherapy, 2 cases of adenocarcinoma in 7 cases, 3 cases of adenoid cystic carcinoma and 2 carcinoid carcinomas. One patient died within 30 days after operation. 2 cases lost to follow-up, 17 cases died of local recurrence and lung metastasis in 1 case, the remaining 6 months to 7 years are still alive. Conclusion: Surgery is an effective method for the treatment of tracheal tumors. Safety and radicality should be taken into account simultaneously. Perioperative management should be taken seriously.