论文部分内容阅读
手术切除气管病变后，其缺损部位的修补是临床难题。作者用带肋间血管蒂的胸壁组织瓣行气管侧壁缺损修补术和气管重建术共１１例。适应证为气管一侧壁良、恶性肿瘤、右上叶肺癌侵及气管、隆突侧壁。肿瘤切除后气管缺损横径不超过周径的二分之一。此外，气管肿瘤、良性狭窄等行长段气管切除后对端吻合困难时，用胸壁软组织瓣做成管型，内衬临时支架行气管重建是可行的。本组１１例术后均未形成气管狭窄，良性病变患者术均可正常生活，作者还就手术方法和注意事项进行了讨论。
After surgical removal of tracheal lesions, repair of the defect site is a clinical problem. The authors used the intercostal vascular pedicled chest wall flap to repair 11 cases of tracheal wall defect repair and tracheal reconstruction. Indications for the side wall of the trachea benign and malignant tumors, right upper lobe invasion of the trachea, knuckle lateral wall. The diameter of the tracheal defect after tumor resection does not exceed one-half of the circumference. In addition, when tracheal tumors such as tracheal tumors and benign stenosis are difficult to anastomosed after tracheotomy, chest-soft tissue flaps are used as the cast-in-place tube, and it is feasible to line the temporary stents for tracheal reconstruction. No tracheal stenosis was found in 11 patients in this group. The patients with benign lesions can have normal life. The author also discussed the surgical methods and precautions.