山东大学耳鼻喉眼学报 ›› 2015, Vol. 29 ›› Issue (5): 52-54.doi: 10.6040/j.issn.1673-3770.0.2015.248

• 论著 • 上一篇    下一篇

异种脱细胞真皮基质修复膜修复甲状腺癌切除术后气管缺损13例

徐增瑞1, 张建新1, 石继红1, 蔡晓岚2   

  1. 1. 天津市第四中心医院耳鼻咽喉头颈外科, 天津 300140;
    2. 山东大学齐鲁医院耳鼻咽喉科, 山东 济南 250012
  • 收稿日期:2015-06-22 修回日期:2015-09-22 出版日期:2015-10-16 发布日期:2015-10-16
  • 通讯作者: 蔡晓岚,E-mail:cxlsd@sdu.edu.cn E-mail:cxlsd@sdu.edu.cn
  • 作者简介:徐增瑞,E-mail:szx_xzr@126.com

Repair of tracheal defect after resection of thyroid carcinoma with acellular dermal matrix membrane

XU Zengrui1, ZHANG Jianxin1, SHI Jihong1, CAI Xiaolan2   

  1. 1. Department of Otolaryngology & Head and Neck Surgery, Tianjin 4th Centre Hospital, Tianjin 300140, China;
    2. Department of Otolaryngology, Qilu Hospital of Shandong University, Jinan 250012, Shandong, China
  • Received:2015-06-22 Revised:2015-09-22 Online:2015-10-16 Published:2015-10-16

摘要: 目的 探讨异种脱细胞真皮基质修复膜修复甲状腺癌切除术后气管缺损的可行性。方法 甲状腺癌侵犯气管患者13例经甲状腺肿瘤切除、颈部淋巴结清扫、气管部分切除术,以异种脱细胞真皮基质修复膜修复气管缺损。结果 术后随访36~53个月,11例患者气管腔无肉芽生长,管腔光滑,顺利拔管;2例拔管失败,气管内肉芽形成感染1例,气管修复处内陷1例。结论 累及气管的甲状腺癌患者,可根据肿瘤切除后气管缺损范围,选择适当病例,以异种脱细胞真皮基质修复膜修复气管缺损,保障气道通畅。

关键词: 异种脱细胞真皮基质修复膜, 气管缺损, 甲状腺肿瘤, 组织修复

Abstract: Objective To explore the feasibility of using acellular dermal matrix membrane in tracheal defect repair after thyroid carcinoma resection. Methods Clinical data of 13 patients who suffered thyroid cancer involving trachea were retrospectively analyzed. All tracheal defects were repaired with heterogeneous acellular dermal matrix membrane. Results During the follow-up of 20 to 53 months, 11 cases removed tracheal tube smoothly, no granulation grew in trachea, and the lumen of repair site was smooth;2 cases failed to remove the tracheal tube, one of them developed infection of granulation, and the other had collapse of the repair site. Conclusion After resection of thyroid carcinoma involving the trachea, tracheal defect could be repaired by cellular dermal matrix membrane. Cases should be carefully selected in order to ensure the airway patency after operation.

Key words: Thyroid carcinoma, Repair, Acellular dermal matrix membrane, Tracheal defect

中图分类号: 

  • R736.1
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