谈谈口腔肿瘤手术中如何选择气管切开术

DISCUSSION ON HOW TO SELECT TRACHEOTOMY IN ORAL CANCER OPERATION

目的 :口腔肿瘤患者手术 ,为了避免或预防术后的术区肿胀会引起呼吸道梗阻 ,常需配合“气切”术 ,如何掌握其适应证。方法 :我院 1 983～ 1 997年的 1 5 82例口腔肿瘤手术 ,其中有 1 5 1例行“气切”术 ,对其进行了分析。结果 :1 5 1 /1 5 82“气切”率占 1 0 4 0 %。对 94例舌癌的舌颌颈联合根治术 ,气切 /未气切比为 1 5 /79,未气切 79例 ,无 1例术后因呼吸困难再行气管切开术。结论 :一侧联合根治术 ,“气切”不一定做常规辅助手术。但有些情况下 (详见全文 )

Objective:Tracheotomy is justified to avoid or prevent respiratory tract obstruction dueto traumatic swollen after operation of oral cancer resection Methods:Analyze 151 cases of tracheotomy in 1582 cases of maxillofacial tumor resection from 1983 to 1997 in our hospital.Results:There are 151 cases with tracheotomy in 1582 cases of maxillofacial tumor resection operation.It accounts to 10 4%.In all 94 cases of combined radical treatment of tongue,jaw and neck,performing and not performing tracheotomy rate is 15/79.Among 79 cases without tracheotomy,there is no case to perform tracheotomy after operation due to respiratory dyspnea.Conclusion:Tracheotomy is not routine adjunctive operation for unilateral maxillofacial tumor resection.But it is necessary for some specific conditions.