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[目的]探讨正气管腺样囊性癌的临床特点、治疗方法及预后。[方法]回顾性分析我院自1998年9月至2011年6月收治的16例正气管腺样囊性癌患者的临床资料,7例行气管局部切除,8例行气管袖状切除+端端吻合术,1例行气管下段切除+隆突重建术。Kaplan-Meier法计算生存率。[结果]正气管腺样囊性癌的5年、10年生存率分别为56.5%和11.3%。切缘阳性率为68.8%(11/16),切缘阳性与否对于生存的影响无统计学差异(χ2=0.740,P=0.390)。术后放疗与否对于生存的影响也无统计学差异(χ2=0.063,P=0.801)。[结论]气管腺样囊性临床少见,手术切除是首选的治疗方法,有较高的切缘阳性率。
[Objective] To investigate the clinical characteristics, treatment and prognosis of eotopic cystic carcinoma of the right trachea. [Methods] The clinical data of 16 patients with positive tracheal adenoid cystic carcinoma admitted to our hospital from September 1998 to June 2011 were retrospectively analyzed. Seven patients underwent partial resection of the trachea and eight patients underwent sleeve resection of the trachea End anastomosis, 1 case of tracheotomy + protuberance reconstruction. Kaplan-Meier method to calculate the survival rate. [Results] The 5-year and 10-year survival rates of positive tracheal adenoid cystic carcinoma were 56.5% and 11.3% respectively. The positive rate of the margins was 68.8% (11/16). There was no significant difference in survival if the positive margins (χ2 = 0.740, P = 0.390). The effect of postoperative radiotherapy on survival was not statistically different (χ2 = 0.063, P = 0.801). [Conclusion] Tracheal adenoid cystic clinical rare, surgical removal is the preferred method of treatment, a higher positive rate of the margin.