原发性气管肿瘤24例报告

PRIMARY TUMOUR OF TRACHEA WITH A REPORT OF 24 CASES

作者报告原发性气管肿瘤２４例，手术治疗２３例，切除１９例，切除率８２．６％，姑息切除及气管造口４例，２４例中恶性肿瘤２１例，良性肿瘤３例。肿瘤位于气管上段８例，中段６例，下段１０例。切除１９例全部临床治愈，术后１、３、５和１０年生存率分别为８２．３％（１４／１７）、７５％（９／１２）、７５％（６／８）和５０％（２／４）。作者认为：气管肿瘤误诊率高，应注意早期诊断，已确诊的气管肿瘤应注意选择手术时机和手术方法。

Abstract Twenty-four cases of primary tumour of trachea are reported in this article.In the 23 operatedcases,19 received curative excision(82.6%)and 4 cases palliative excision with tracheostomy. Inthese 24 cases, 21 cases were malignant and 3 cases benign. Tumour located at upper trachea in 8 cas-es, at median trachea in 6 cases and at lower trachea in 10 cases. The 19 operated patients all recov-ered. The survival rates in 1、3、5 and 10 years were 82.3%(14/17), 75%(9/12),75%(6/8) and50%(2/4),respectively. The authors suggested that early diagnosis should be paid more attentionbecause misdiagnosis rate was high. The operation condition and procedures are discussed.