气管、支气管损伤11例诊断及治疗

Diagnosis and treatment of traumatic tracheal and bronchial rupture:a report of 11 cases

目的:探讨外伤性气管、支气管断裂的诊治方法和效果。方法:对11例外伤性气管、支气管断裂患者的临床资料进行回顾性分析。8例支气管断裂中,6例经纤维支气管镜检查明确诊断;7例行支气管端端吻合术,1例行肺叶切除术。3例气管损伤中,2例行纤维支气管镜检查确诊;1例气管完全断裂行气管端端吻合术,2例气管裂伤小于其周径1/3,行保守治疗。结果:11例均治愈。结论:纤维支气管镜检查是气管、支气管损伤确诊最重要的手段;支气管成形术是主要手术方式;对小于气管周径1/3的裂伤可试行保守治疗。

Objective：To investigate the diagnosis and treatment of traumatic tracheal and bronchial rupture.Methods：The clinical data of 11 patients suffering from traumatic rupture of tracheal and bronchial were retrospectively analyzed.Among the 8 cases of bronchial rupture,6 were diagnosed by fibrobronchoscopy.Seven cases received end-to-end anastomosis and 1 was performed lobectomy.Of the 3 cases of tracheal rupture,2 cases whose crack′s length was less than a third of the circumference of trachea were diagnosed by fibrobronchoscopy and received conservative treatment,and the rest one was performed end-to-end anastomosis.Results：All the 11 cases were cured.Conclusions：The bronchoscopy is the most important procedure for final diagnosis;and bronchoplasty is the capital modus operandi.Conservative treatment can be applied to the patients whose crack′s length is less than a third of the circumference of trachea.