用于治疗顽固性吸入性肺炎的气管食管吻合术。

Tracheoesophageal anastomosis for intractable aspiration pneumonia.

作者信息

Nakasaki H, Sugihara T, Tajima T, Mitomi T, Osamura Y, Onoda N, Fujii K

机构信息

Department of Surgery, Tokai University School of Medicine, Tokyo, Japan.

出版信息

Ann Thorac Surg. 1991 Jan;51(1):23-9. doi: 10.1016/0003-4975(91)90440-2.

DOI:10.1016/0003-4975(91)90440-2

PMID:1985569

Abstract

Permanent tracheostomy and tracheoesophageal anastomosis were performed as a means of surgical intervention for the treatment of intractable aspiration pneumonia. Conventional methods of tracheoesophageal anastomosis have entailed various problems. The improved method devised by us uses the special histological features and enables safe and reliable anastomosis. By this method, the tracheal perichondrium is retained and the strength of the anastomosed portion of the trachea is maintained, the failure of sutures due to tension on the anastomotic site being prevented. Also, reanastomosis can be performed after the cure of primary disease.

摘要

永久性气管造口术和气管食管吻合术作为治疗顽固性吸入性肺炎的外科干预手段得以实施。传统的气管食管吻合方法存在各种问题。我们设计的改良方法利用了特殊的组织学特征，能够实现安全可靠的吻合。通过这种方法，保留气管软骨膜，维持气管吻合部位的强度，防止吻合部位因张力导致缝线断裂。此外，在原发性疾病治愈后可进行再次吻合。