气管狭窄的外科诊治探讨

目的总结气管狭窄的治疗经验,提高治疗效果。方法回顾性分析自2005、2-2013、2我院收治18例气管狭窄患者的临床资料,手术治疗13例,11例为气管袖状切除(气管节段性切除),2例在纤维喉镜下肿瘤切除,支架植入5例。结果恶性肿瘤4例,2例为鳞癌,2例为腺样囊性癌,良性狭窄14例,乳头状瘤5例,外伤后气管狭窄3例(1例气管切开术后,2例外伤后瘢痕狭窄),结核性气管狭窄3例,气管平滑肌瘤1例,肉芽组织增生2例。结论手术切除是气管狭窄的有效治疗方法,对不能耐受常规手术的患者,气管腔内支架植入是辅助治疗手段之一。

Objective To sum up the experiences of the treatment of tracheal stenosis and to improve treatment effect.Methods retrospective analysis of our hospital since 2005,2-2013,2 the clinical data of 18 patients with tracheal stenosis,13 cases of surgical treatment,11 cases were tracheal sleeve resection（segmental resection of the trachea）,2 cases of tumor resection under fibre laryngoscope,stent in 5 cases.Results Malignant tumor in 4 cases,2 cases of squamous carcinoma,2 cases of adenoid cystic carcinoma,benign stricture, 14 cases of Benign tracheal stenosis,tracheal stenosis in 5 cases,3 patients after trauma（after tracheotomy in 1 case,2 exceptions scar stricture after injury）,3 cases tracheal stenosis of tuberculosis（TB）,Tracheal leiomyoma in 1 case,granulation tissue hyperplasia in 2 cases.Conclusion surgical resection is an effective treatment of tracheal stenosis,patients cannot tolerate conventional surgery,adjuvant treatment of tracheal stent implanted in the cavity is one of the means.