食管癌联合受侵气管、支气管部分切除以胃壁修补呼吸道重建术的分析

Analysis of the Stomach Repair Respiratory Revascularization with Esophageal Cancer Joint Invade Trachea and Bronchi Resection

目的探讨食管癌联合受侵气管、支气管部分切除胸内胃壁修补气管、支气管缺损的方法和疗效。方法对18例食管癌患者,常规行食管癌切除的同时,联合窗形切除受侵气管、支气管膜部或楔形切除软骨环部,软骨环部缝合,膜部胃壁修补。结果 8例患者均痊愈出院,3～6个月后行纤维支气管镜检查,发现气管、支气管腔内无狭窄,内壁光滑,缝合修复处的组织呈支气管黏膜上皮化。1、2、3、5年生存率分别为79.2%、68.5%、27.4%和9.6%。结论食管癌连同受侵气管、支气管部分切除胃壁修补呼吸道重建术,提高了食管癌切除率,明显改善患者生活质量,减少或避免食管气管瘘的发生,提高了患者远期生存率。

Objective To investigate the repair methods and treatment effect of esophageal cancer joint invade trachea and bronchi resection with intrathoracic stomach to repair the trachea and bronchial defect.Methods Doing esophageal cancer resection on 18 patients,meanwhile,do resection of invade trachea and bronchi film window form or cartilage wedge ring department,with film department repair of the stomach.Results All 18 patients recovered.3-6months after recovery,fiberoptic bronchoscopy shows that the trachea and bronchi cavity is narrow,inside sleek,suture repair of the organization in a bronchial mucosal epithelium change.1,2,3,5 year＇s survival rate are 79.2%,68.5%,27.4% and 9.6%.Conclusion Esophageal cancer joint invade trachea and bronchi resection of the stomach repair respiratory revascularization enlarge resection percent of esophageal cancer,improve living quality obviously,reducing or avoiding esophageal fistula trachea,improving long-term survival of patients.