论文部分内容阅读
目的回顾性分析10例原发性气管肿瘤患者的临床资料,总结原发性气管肿瘤的临床诊疗经验。方法回顾性分析2001年1月-2006年12月在我院住院治疗的10例原发性气管肿瘤患者的临床资料。年龄2～75岁,平均41.5岁。良性肿瘤3例(乳头状瘤2例,平滑肌瘤1例),恶性肿瘤7例(鳞状细胞癌3例,腺样囊性癌2例,黏液表皮样癌和腺鳞癌各1例)。气管袖状切除端端吻合5例,内镜下肿瘤切除4例,单纯放射治疗1例。结果 5例行气管袖状切除,均顺利完成手术。2例儿童气乳头状瘤行硬性气管镜下切除肿瘤,术后均复发。2例恶性肿瘤行软性支气管镜高频电刀电切术。1例鳞癌经单纯放射治疗后呼吸困难缓解。结论手术治疗是气管肿瘤的首选治疗,气管袖状切除+端端吻合术式可靠,术后并发症少。
Objective To retrospectively analyze the clinical data of 10 patients with primary tracheal tumors and summarize the clinical diagnosis and treatment experience of primary tracheal tumors. Methods The clinical data of 10 patients with primary tracheal tumor who were hospitalized in our hospital from January 2001 to December 2006 were retrospectively analyzed. Age 2 to 75 years old, average 41.5 years old. There were 3 benign tumors (2 papillomas, 1 leiomyoma), 7 malignant tumors (3 squamous cell carcinomas, 2 adenoid cystic carcinomas, 1 mucoepidermoid carcinoma and 1 adenosquamous carcinoma) . There were 5 cases of end-to-end anastomosis with tracheal sleeve resection, 4 cases of endoscopic tumor resection, and 1 case of radiotherapy alone. Results 5 cases of tracheal sleeve resection were performed successfully. Two cases of children with papillomatosis of the lung underwent rigid gastrectomy for tumor recurrence. Two cases of malignant tumors underwent flexible bronchoscopic electrosurgical resection. One case of squamous cell carcinoma was relieved of dyspnea after radiotherapy alone. Conclusion Surgical treatment is the preferred treatment for tracheal tumors. The tracheal sleeve resection + end-to-end anastomosis is reliable and less postoperative complications.