颈段气管部分切除气管重建术19例临床分析

Artial resection and reconstruction of cervical trachea: 19-case report and clinical analysis

目的:探讨颈段气管部分切除气管重建术的方法及要点。方法:总结我科2010年10月至2017年10月接受该术式19例患者的临床资料,并就相关问题进行探讨。结果:19例手术患者中,1例患者术后并发食管气管瘘,经食管支架置入术后症状改善自动出院,另1例患者出现气管吻合口瘘,后经二期行左侧胸大肌转肌瓣术闭合瘘口治愈。结论:气管部分切除气管重建是解决严重气管狭窄或梗阻的有效方法,有时甚至是唯一方法。

Objective: To discuss the methods and technical essentials regarding partial resection and reconstruction of cervical trachea.Methods: Clinical data of 19 cases receiving partial resection and reconstruction of cervical trachea was analyzed from October 2010 to October 2017, and related literatures were reviewed.Results: Among the 19 cases, one complicated with esophago-tracheal fistula postoperatively. This patient was performed esophagus stent, and symptoms were relieved. Another patient complicated with anastomotic fistula and was cued by secondary pectoralis major myocutaneous flap transfer.Conclusion: Partial resection and reconstruction of cervical trachea is an effective method for tracheal stenosis or obstruction, and in some cases it is the only method.