Bertin François, Labrousse Louis, Gazaille Virgile, Vincent François, Guerlin Antoine, Laskar Marc
Department of Thoracic and Cardiovascular Surgery and Angiology, Centre Hospitalier Universitaire Limoges, Limoges, France.
Ann Thorac Surg. 2007 Sep;84(3):1023-5. doi: 10.1016/j.athoracsur.2007.04.013.
Classical collapse therapy with extrapleural Lucite balls placement used for tuberculosis sequelae is associated with long term complications, such as migration of the foreign body. We report a new modality of collapse therapy for tuberculosis cavitation which may avoid this complication and which uses percutaneous tissue expanders. Postoperative course was uneventful and mid term follow-up confirmed the functional improvement without recurrence of the infection. This new modality of post-tuberculosis collapse therapy may allow treatment with fewer physical and physiologic sequelae of the residual cavities, and should reduce long term complications such as migration.
用于治疗肺结核后遗症的传统胸膜外放置有机玻璃球塌陷疗法会引发长期并发症,比如异物迁移。我们报告了一种用于肺结核空洞的新型塌陷疗法,该疗法可能避免此类并发症,且使用经皮组织扩张器。术后过程平稳,中期随访证实功能有所改善且感染未复发。这种新型肺结核后塌陷疗法或许能减少残余空洞的物理和生理后遗症,还应能降低诸如迁移等长期并发症的发生率。