Wu M H, Tseng Y L, Lin M Y, Lai W W
Department of Surgery, National Cheng Kung University Hospital, Tainan, Taiwan.
Respirology. 1997 Sep;2(3):179-84. doi: 10.1111/j.1440-1843.1997.tb00076.x.
This study was carried out in order to evaluate the surgical results of benign tracheobronchial diseases. Between July 1988 and March 1996, tracheobronchial surgery was performed on 29 patients with a variety of benign diseases. The primary diseases were post intubation or post tracheostomy tracheal stenosis (n = 12), tuberculous stenosis (n = 7), congenital tracheal stenosis with or without vascular ring (n = 4), tracheobronchial tumour (n = 2), oesophageal tumour (n = 1), and miscellaneous conditions (n = 3). Thirty-one operative procedures included sleeve lobectomy (n = 7), sleeve resection of trachea (n = 17) and bronchus (n = 2), and plastic surgery of trachea (n = 4) and bronchus (n = 1). There was one operative death, which put the mortality rate at 3.4%. There were five postoperative complications in this series (17.2%), including anastomotic disruption of trachea (n = 1), bilateral vocal cord palsy (n = 1), prolonged endotracheal intubation (n = 1) and overgrowth of granulation (n = 2). The complication of anastomotic disruption of trachea was treated by insertion of a tracheal T-tube, and the granulation was treated by bronchoscopic excision. We suggest that tracheobronchoplasty is a safe procedure in carefully selected patients with benign diseases.
本研究旨在评估良性气管支气管疾病的手术效果。1988年7月至1996年3月期间，对29例患有各种良性疾病的患者进行了气管支气管手术。主要疾病包括插管后或气管切开术后气管狭窄（n = 12）、结核性狭窄（n = 7）、伴有或不伴有血管环的先天性气管狭窄（n = 4）、气管支气管肿瘤（n = 2）、食管肿瘤（n = 1）以及其他病症（n = 3）。31例手术操作包括袖状肺叶切除术（n = 7）、气管袖状切除术（n = 17）和支气管袖状切除术（n = 2），以及气管整形手术（n = 4）和支气管整形手术（n = 1）。有1例手术死亡，死亡率为3.4%。本系列中有5例术后并发症（17.2%），包括气管吻合口破裂（n = 1）、双侧声带麻痹（n = 1）、气管插管时间延长（n = 1）和肉芽组织过度生长（n = 2）。气管吻合口破裂的并发症通过插入气管T形管进行治疗，肉芽组织通过支气管镜切除进行治疗。我们认为，对于精心挑选的患有良性疾病的患者，气管支气管成形术是一种安全的手术方法。
