Hájek M, Kazda O, Drábková J, Miloschewský D, Fiser F, Pátek J, Korcák V
Rozhl Chir. 1989 Jan;68(1):1-5.
The paper deals with 10 years of experience a multispecialty team has reached in the therapy of tracheal stenoses and acquired tracheoesophageal fistulas. In 38 surgical patients the authors performed 50 reconstruction operations. The best results were reached in stenoses and tumours of trachea provided the patient had not died after the operation. In the group of 13 patients with surgery for tracheoesophageal fistula there were seven who died in the postoperation period. The problem of reoperation is discussed as well as the technique of the intervention with the use of Rehn's grafts and microsurgery occlusions of the fistulas by way of a tracheostoma. Two previously published cases are briefly described, the first being a complete resection of tracheal bifurcation, the other one being a rare mucosa form of epidermolysis bullosa, localized and surgically treated in the region of cervical oesophagus.
本文论述了一个多专业团队在气管狭窄和后天性气管食管瘘治疗方面积累的10年经验。在38例手术患者中,作者实施了50次重建手术。对于气管狭窄和肿瘤患者,若术后未死亡,则能取得最佳效果。在13例行气管食管瘘手术的患者组中,有7例在术后死亡。文中还讨论了再次手术的问题以及使用雷恩移植物的干预技术和通过气管造口术对瘘管进行显微手术封堵。简要描述了两个先前发表的病例,第一个是气管分叉的完全切除,另一个是罕见的局限性大疱性表皮松解症黏膜型,在颈段食管区域进行了局部定位和手术治疗。