Maggi G, Ardissone F, Cavallo A, Oliaro A, Scappaticci E, Giobbe R
Department of Thoracic Surgery, University of Turin, Italy.
Int Surg. 1990 Oct-Dec;75(4):225-30.
A series of 100 cases of tracheal stenoses, 66 non-neoplastic and 34 neoplastic, are reviewed; tracheal resection was performed in 28 inflammatory stenoses and in five tumours. A T-tube stent was used in 12 patients. Results were good in 81% of resections for non-neoplastic stenoses; two out of three resections for adenoid cystic carcinoma are alive after ten years and the third died after two years with metastases; two patients who received a tracheal resection for epidermoid carcinomas died after three and four years with metastases. Inflammatory tracheal stenoses treated using T-tube achieved good results only in one third of cases. Pre-operative preparation is the most important factor to obtain good results: end-to-end anastomosis requires a healthy mucosa without infection or ulcers.
回顾了100例气管狭窄病例，其中66例为非肿瘤性，34例为肿瘤性；28例炎性狭窄和5例肿瘤患者接受了气管切除术。12例患者使用了T形管支架。非肿瘤性狭窄切除术的成功率为81%；三例腺样囊性癌切除术中有两例患者术后存活十年，第三例患者术后两年死于转移；两例接受气管切除术的表皮样癌患者分别在术后三年和四年死于转移。使用T形管治疗炎性气管狭窄仅三分之一的病例取得了良好效果。术前准备是取得良好效果的最重要因素：端端吻合术需要健康的黏膜，无感染或溃疡。
