单纯肺组织瓣修补气管缺损的临床应用

Clinical application of replacement of tracheal defects with single autologous lung tissue flap

目的探讨单纯应用自体肺组织瓣修补气管缺损的临床应用效果。方法对确诊的6例气管肿瘤患者,其中4例为主气管肿瘤,2例为左主支气管肿瘤,均采用自体肺组织瓣修补气管缺损方法行胸段气管重建术。结果 6例患者呼吸困难均明显缓解,气管缺损处肺组织瓣重建愈合良好,重建气管无明显狭窄及肉芽组织形成。术后随访显示所有患者疗效稳定,其中5例随访至今均健在,最长存活时间达10年;1例患者术后1年失访。结论自体肺组织瓣修补气管缺损是一种可行的气管重建新方法。

Objective To investigate the feasibility of replacement of tracheal defects with single autologous lung tissue flap.Methods Replacement of tracheal defects with autologous lung tissue flap and tracheal reconstruction were performed in 6 cases with tracheal tumors.Among these 6 cases,4 were diagnosed as main tracheal tumors, and the other 2 left principal bronchus tumors.Results Dyspnea was significantly relieved in all patients after operation.The reconstructed lung tissue flap healed well.No stenosis and granulation tissue was observed in the prosthetic lumen.The outcomes of patients were favorable during follow-up.One case was lost in follow-up 1 year later,and the other 5 were followed up until now and were still alive,with the longest survival of 10 years.Conclusions Replacement of tracheal defects with single autologous lung tissue flap is a new feasible tracheal reconstruction method.