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目的:探讨利用胸锁乳突肌肌骨膜瓣修复颈段气管缺损的方法。方法:对13例恶性肿瘤侵犯颈段气管及原发性气管肿瘤患者,切除肿瘤及受累气管壁后利用胸锁乳突肌肌骨膜瓣修复气管壁缺损。结果:13例患者中,气管切开患者为10例,9例分别于术后1~5个月拔除气管套管,1例因声门区狭窄,戴管呼吸,3例未行气管切开患者术后呼吸通畅。结论:带蒂胸锁乳突肌肌骨膜瓣是较好的气管修复材料。
Objective: To explore the method of using the sternocleidomastoid musculocutaneous flap to repair the tracheal defect in the cervical region. Methods: Thirteen cases of malignant tumor invading the cervical trachea and primary tracheal tumor patients were treated with sternocleidomastoid musculocutaneous flap to repair the tracheal wall defects after removal of the tumor and involved tracheal wall. Results: Of the 13 patients, 10 had tracheotomy patients, 9 had tracheal cannulas removed 1 to 5 months after surgery, 1 had stenosis due to the glottis, had breathtaking, and 3 had no tracheotomy Patient breathing after surgery. Conclusion: The pedicled sternocleidomastoid muscle flap is a good material for tracheal repair.