气管、支气管肿瘤的外科治疗(附3例报告)

The surgical treatment for the trachea and bronchogenic carcinoma:three cases report

目的 探讨气管、支气管肿瘤手术方式、方法及术后处理的经验。方法 我们对 3例气管、支气管肿瘤病人进行了肿瘤切除、隆突重建手术。结果 3例病人远期随访效果满意 ,无吻合口狭窄及肿瘤复发。结论 (1)螺旋CT三维成像技术能清楚地显示病变部位 ,为手术切除范围提供了良好依据 ,有效地避免了复发 ;(2 )麻醉管理中采用单肺高频通气能有效地暴露术野 ;(3) 4 0Prolene线连续缝合 ,降低了吻合口狭窄发生率 ,缩短了手术时间 ;(4)术后早期少量应用激素 ,有助于减轻气管、支气管炎性反应和水肿 ,减少分泌物。

Objective To review the experience of surgical treatment of trachea and bronchogeneic carcinoma. Methods Three patients underwent carinal resection . Results There is no anastomotic strainess occurred in all patients,the curative effect of long time was satisfactory. Conclusion (1) Through preoperative spiral computed tomography with multiplanar and three dimensional reconstructions, the lesion can be clearly,and excised maximum. (2)A fine exposure can be provided by high frequency ventilate of single lung during anaesthesia. (3)The rate of anastomotic stricture and the time of operation can be reduced by continuous suture using 4 0 Prolene thread. (4) The secretion, inflammatory reaction and edema of anastomotic stoma can be alleviated by using cortical hormone in the early stage postoperation.