目的总结手术治疗气管隆凸病变的经验教训。方法肺癌侵犯隆凸25例,原发气管肿瘤19例,甲状腺癌侵犯气管2例,纵隔横纹肌肉瘤侵犯气管、气管炎性狭窄、气管囊肿伴气管壁缺如各1例。术式:气管开窗肿物摘除术3例;气管侧壁切除成形2例;气管环形切除对端吻合18例;隆凸切除成形22例;隆凸切除重建3例;探查术1例。结果切除率为97.96%;死亡率2.05%;心律失常发生率28.57%;肺不张14.29%;肺部感染18.37%;呼吸衰竭12.24%。结论严格掌握手术适应证,根据患者及术者自身条件合理选择病例并给予充分的术前准备,合理、周密地设计麻醉及手术步骤、手术方式,术后加强护理,严密观察病情变化并给予耐心的术前、后护理,可使此类患者顺利渡过围术期。 Objective To summarize the experience and lessons of surgically treated bronchiectasis. Methods Twenty - five cases of lung cancer were involved in the invasion of lung cancer, 19 cases of primary tracheal tumor, 2 cases of thyroid cancer invading the trachea, 1 case of mediastinal rhabdomyosarcoma invading tracheobronchial stricture and tracheal cyst with tracheal wall absent. Surgery: tracheotomy fenestration in 3 cases; resection of the trachea in 2 cases; endotracheal resection of the eighteen cases of anastomosis; protuberance resection in 22 cases; reconstruction of the convex in 3 cases; exploration in 1 case. Results The resection rate was 97.96%. The mortality rate was 2.05%. The incidence of arrhythmia was 28.57%. Atelectasis was 14.29%. Pulmonary infection was 18.37%. Respiratory failure was 12.24%. Conclusion Strict indications of surgical indications, according to the patients and their own conditions to choose a reasonable case and adequate preoperative preparation, reasonable and careful design of anesthesia and surgical procedures, surgical methods, postoperative intensive care, closely observe the changes in the condition and give patience The preoperative and postoperative care can make these patients smoothly through the perioperative period.