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[肺结核患者的根治性胸膜肺切除术]

[Conclusive pleuropulmonectomy in patients with pulmonary tuberculosis].

作者信息

Opanasenko M S, Konik B M, Kshanovs'kyĭ O E, Tereshkovych O V, Obrems'ka O K, Levanda L I, Klymets' Ie V

出版信息

Klin Khir. 2014 Feb(2):31-5.

Abstract

The results of performance of conclusive pleuropulmonectomy (CPPE) in 2004-2012 yrs in 16 patients, suffering multiresistant pulmonary tuberculosis are presented. In 75% patients during the first operation the atypical (using apparatuses) pulmonary resection was performed. CPPE was done for fibrous-cavernous tuberculosis in 11 (68.8%) patients, for cirrhotic tuberculosis - in 4 (25.0%), caseous pneumonia - in 1 (6.3%). Intraoperative complications rate was 12.5%. Early postoperative complications have had occurred in 5 (31.3%) patients, and the late - in 3 (18.8%). Total efficacy of CPPE have had constituted 81.3%.

摘要

本文介绍了2004年至2012年期间16例耐多药肺结核患者接受确定性胸膜肺切除术(CPPE)的结果。75%的患者在首次手术时进行了非典型(使用器械)肺切除术。11例(68.8%)患者因纤维空洞性肺结核接受CPPE,4例(25.0%)因结节性肺结核接受,1例(6.3%)因干酪性肺炎接受。术中并发症发生率为12.5%。5例(31.3%)患者发生早期术后并发症,3例(18.8%)发生晚期并发症。CPPE的总有效率为81.3%。

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