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1994年1月~1998年3月,手术治疗原发性气管肿瘤5例。男2例,女3例;年龄40~57岁。4例肿瘤位于颈段气管,1例位于上胸段气管。5例共行7次手术,其中肿瘤摘除术3例次,气管环切对端吻合4例次。病理报告3例为恶性,2例为良性。X线和纤维支气管镜是主要诊断手段,MRI能从三维平面显示气管内肿物的位置、大小及外侵情况。本文对麻醉选择、手术进路、手术操作等进行初步探讨。
From January 1994 to March 1998, surgical treatment of primary tracheal tumor in 5 cases. 2 males and 3 females; aged 40 to 57 years old. Four tumors were located in the cervical trachea and one in the upper thoracic trachea. Five patients underwent 7 operations in total, including 3 cases of tumor resection and 4 cases of tracheotomy. The pathology report was malignant in 3 cases and benign in 2 cases. X-ray and fiberoptic bronchoscopy are the main diagnostic methods. MRI can show the location, size, and invasion of endotracheal tumors from the three-dimensional plane. This article discusses the selection of anesthesia, surgical approach, and surgical procedures.