Reconstruction of the trachea and stem bronchi with Neville prosthesis.
Reconstruction of the trachea and stem bronchi with Neville prosthesis.
复制标题
用 Neville 假体重建气管和主支气管。
DOI：
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发表时间：
1982
期刊：
影响因子：
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通讯作者：
Neville We
中科院分区：
文献类型：
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作者：
Neville We
摘要对54例气管良性狭窄和恶性肿瘤所致的狭窄患者，采用模压硅胶假体（Neville假体）进行气道重建。在40例患者中，气管重建与直假体，其中29个有插管后狭窄和11个恶性肿瘤。在前一组中，有1例因无名动脉侵蚀而早期死亡，5例因各种原因而晚期死亡。术后并发症与4例患者的吻合部位肉芽肿有关，并且是由于使用了不可吸收的缝合材料。声门下肉芽肿发生在两名患者，并成功地与电灼治疗。病变被切除，气管重建与假体在8个人，其中5人还活着，术后1至6年。在三名患者中，假体作为腔内支架，一名接受放射治疗的患者在手术后三年仍存活。在14例因恶性肿瘤行隆突切除术的患者中，5例患者在术后1至11年仍存活。整个组中有4个缝合线肉芽肿。所有死亡均归因于残留或扩散的癌症。
Abstract Fifty-four patients with tracheal stenosis due to benign stricture and malignancy underwent airway reconstruction with a molded Silicone prosthesis (Neville Prosthesis). In 40 patients, the trachea was reconstructed with a straight prosthesis; of these 29 had a postintubation stricture and 11 a malignancy. In the former group, there was one early death from erosion of the innominate artery and five late deaths from a variety of causes. The postoperative complications were related to granulomas at the anastomotic site in four patients and were due to the use of non-absorbable suture material. Subglottic granulomas occurred in two patients and were successfully treated with fulguration. The lesion was resected and the trachea reconstructed with the prosthesis in eight individuals, five of whom are alive, one to six years postoperatively. Of the three patients, in whom the prosthesis served as an intraluminal stent, one who received irradiation is alive three years after operation. In 14 patients, in whom a carinal resection was performed for malignancy, five individuals are alive, from one to eleven years after surgery. There were four suture line granulomas in the entire group. All of the deaths were attributable to residual or disseminated cancer.