Hoshi E, Aoyama K, Murai K, Ikeya T, Takayanagi N, Hoshi T, Honma T
Department of Chest Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.
Kyobu Geka. 1999 Feb;52(2):152-5.
A 31-year-old woman was admitted to our center with left chest pain and dyspnea after treatment of pulmonary tuberculosis. Chest X-ray film showed atelectasis of left lower lobe and left deviation of the mediastium. Bronchofiberscopy revealed obstruction of the left main bronchus. Chest MRI showed intermediate intensity at the left main bronchus and very high intensity at the peripheral bronchus. We performed sleeve resection of the left main bronchus and anastomosed end to end with absorbable monofilament sutures. Postoperative course was uneventful. Bronchoplasty for tuberculous obstructive lesion is a useful procedure.
一名31岁女性在接受肺结核治疗后因左胸痛和呼吸困难入住我院。胸部X线片显示左肺下叶肺不张及纵隔左移。纤维支气管镜检查显示左主支气管阻塞。胸部MRI显示左主支气管呈中等强度信号，外周支气管呈极高强度信号。我们对左主支气管进行了袖状切除术，并用可吸收单丝缝线进行端端吻合。术后过程顺利。结核性阻塞性病变的支气管成形术是一种有效的手术方法。
