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[结核性支气管狭窄的诊断与外科治疗]

[Diagnosis and surgical treatment for tuberculous bronchostenosis].

作者信息

Hong Z, Li S

机构信息

Beijing Thoracic Tumor & Tuberculosis Hospital.

出版信息

Zhonghua Jie He He Hu Xi Za Zhi. 1997 Aug;20(4):231-3.

Abstract

OBJECTIVE

To explore the appropriate diagnosis and treatment for tuberculous bronchostenosis patients who failed in anti-tuberculosis chemotherapy.

METHOD

The 46 patients with tuberculous bronchostenosis were treated with pneumonectomy and bronchoplasty. The latter included pulmonary lobectomy, wedge and sleeve resection of primary bronchus.

RESULTS

All the patients showed sputum negative conversion and were cured without anastomotic fistulae, stenoses and other complications.

CONCLUSIONS

Pneumonectomy is a routine treatment for tuberculous bronchostenosis, and bronchoplasty is a good method for treatment of the disease.

摘要

目的

探讨抗结核化疗失败的结核性支气管狭窄患者的合适诊断与治疗方法。

方法

对46例结核性支气管狭窄患者行肺切除术及支气管成形术。后者包括肺叶切除术、主支气管楔形及袖状切除术。

结果

所有患者痰菌转阴,治愈,无吻合口瘘、狭窄及其他并发症。

结论

肺切除术是结核性支气管狭窄的常规治疗方法,支气管成形术是治疗该病的良好方法。

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