Takushima Mina, Haraguchi Shuji, Hioki Masafumi, Endou Naoya, Kawamura Jun, Yamashita Yasuo, Orii Koan, Yamashita Koji, Matumoto Koshi, Shimizu Kazuo
Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan.
J Nippon Med Sch. 2004 Oct;71(5):333-6. doi: 10.1272/jnms.71.333.
We report a case of pulmonary aspergilloma in a 27-year-old woman with anorexia nervosa who underwent a video-assisted thoracic surgery (VATS) lobectomy. On admission, she had lost 38% of her original weight but the laboratory data were normal. She had refused treatment for anorexia nervosa for nine years ago and may have been predisposed to opportunistic conditions. The aspergilloma was developed in a simple bulla formed in the course of healing of a lung abscess and a VATS lobectomy was safely and cosmetically performed. Wedge resection was difficult due to the size of the lesion. The residual lobes expanded very well and the postoperative course was uneventful. VATS is considered to be an efficient method in the treatment of pulmonary aspergilloma in patients with better lung function and localized pulmonary disease.
我们报告一例27岁神经性厌食症女性患者的肺曲菌球病例，该患者接受了电视辅助胸腔镜手术（VATS）肺叶切除术。入院时，她的体重已减轻了原体重的38%，但实验室检查数据正常。她九年前就拒绝接受神经性厌食症的治疗，可能易患机会性疾病。曲菌球发生于肺脓肿愈合过程中形成的一个单纯肺大疱内，成功实施了安全且美观的VATS肺叶切除术。由于病变大小，楔形切除术困难。残留肺叶扩张良好，术后病程平稳。对于肺功能较好且肺部疾病局限的患者，VATS被认为是治疗肺曲菌球的有效方法。
