24例隆凸气管主支气管肿瘤的外科治疗

总结１９８０－１９９４年２４例隆凸，气管，主支气管肿瘤病人手术治疗经验，方法，行气管、主支气管袖状切除对端合术１７例，隆凸切除重建术６例，气管纵行开窗刮除肿瘤减压术１例。结论：隆凸及气管手术比较复杂，手术难度大，但严和掌握的适应证，选择合理的术式及麻醉方法，可以取得满意的疗效。

Surgical Treatment of Tracheal and Main Bronchial Tumors( Report of 24 Cases)

Aim:To review the experience in surgical treatment of tracheal and main bronchial tumors.Clinical material and method:From 1980 and 1994,24 patients with tracheal or main bronchial tumor underwent surgical resection.Surgical procedures performed included sleeve resection of trachea or main bronchus in 17,carinal resection and reconstruction in 6 and tumor removal through tracheall windows in 1.Result:There were two operative deaths with an operative mortality rate of 8.3%.The causes of death were acute respiratory failure in and severe postoperative bleeding in 1.The 1 year,3 year,5 year and 10 year survival rates were 81.0 %,50.7%,36.1% and 22.8%,respectively.Conclusion:Sleeve resection and reconstruction of trachea,main bronchus or carina can achieve excellent long term survival.It can be performed with no significant increase in operative mortality and morbidity.