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[气管支气管肿瘤的重建手术]

[Reconstructive surgery in tracheobronchial tumors].

作者信息

Engelmann C, Liedtke D, Ehlert U

机构信息

Thoraxchirurgische Abteilung, Forschungsinstituts für Lungenkrankheiten und Tuberkulose, Berlin-Buch.

出版信息

Zentralbl Chir. 1990;115(15):949-61.

PMID:2238971
Abstract

Malignant tumours are the most frequent indications for reconstructive tracheobronchial surgery. From 1970 to 15.6. 1989 there were 95 reconstructive operations on the tracheobronchial tree from this indication. Primary tumours of the trachea and the bifurcation are very rare, especially benign tumours. All tumours of the trachea and the bifurcation have need of a reconstruction, while this is an elective operation on the bronchial tree. The purpose of these operations is the preservation of lung tissue despite of radical resection. The main problem ist the insufficiency of the anastomosis (n = 6) associated with an acute pulmonary hemorrhage (n = 4) and death. The perioperative mortality was 9.5%.

摘要

恶性肿瘤是气管支气管重建手术最常见的适应症。从1970年至1989年6月15日,因该适应症对气管支气管树进行了95次重建手术。气管和气管分叉处的原发性肿瘤非常罕见,尤其是良性肿瘤。气管和气管分叉处的所有肿瘤都需要进行重建,而对于支气管树来说这是一种选择性手术。这些手术的目的是在根治性切除的情况下保留肺组织。主要问题是吻合口漏(n = 6),伴有急性肺出血(n = 4)和死亡。围手术期死亡率为9.5%。

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