Turk J Med Sci. 2015;45(2):431-7. doi: 10.3906/sag-1401-165.
BACKGROUND/AIM: This retrospective study evaluated the clinical presentation, underlying lung disease, surgical indications, technique, treatment outcomes, and postoperative complications of pulmonary aspergilloma.
We evaluated 77 patients who underwent pulmonary resection of an aspergilloma at Atatürk Chest Diseases and Thoracic Surgery Research and Training Hospital between January 2000 and December 2013. The initial operations were 4 pneumonectomies, 24 lobectomies, 9 lobectomy plus myoplasties, 10 segmental resections, and 30 wedge resections. Six reoperations were carried out to deal with postoperative complications: 1 myoplasty, 2 completion lobectomies plus myoplasties, 2 myoplasties with rib resections, and 1 completion lobectomy.
The subjects comprised 53 males (mean age: 44.26 (range: 10-73) years) and 24 females (mean age: 48.25 (range: 26-70) years). The most common indication for surgery was hemoptysis in 52 patients (67.53%). The most common underlying lung disease was tuberculosis in 37 patients (48.05%). Forty patients (51.94%) had a simple pulmonary aspergilloma and 37 (48.05%) had a complex pulmonary aspergilloma. Major complications occurred in 18 patients (23.37%). The postoperative mortality rate was 3.89%, with 3 patients dying.
Surgical resection of pulmonary aspergilloma is the best way to prevent recurrent hemoptysis with low morbidity and mortality.
背景/目的：本回顾性研究评估了肺曲霉菌病的临床表现、基础肺部疾病、手术适应证、手术技术、治疗结果和术后并发症。
我们评估了 2000 年 1 月至 2013 年 12 月期间在阿塔图尔克胸部疾病和胸外科研究与培训医院接受肺曲霉菌瘤切除术的 77 例患者。初始手术包括 4 例全肺切除术、24 例肺叶切除术、9 例肺叶切除术加肌成形术、10 例节段切除术和 30 例楔形切除术。为处理术后并发症进行了 6 次再次手术：1 例肌成形术、2 例完成肺叶切除术加肌成形术、2 例肌成形术加肋骨切除术和 1 例完成肺叶切除术。
研究对象包括 53 名男性（平均年龄：44.26 岁（范围：10-73 岁））和 24 名女性（平均年龄：48.25 岁（范围：26-70 岁））。手术最常见的适应证是 52 例患者的咯血（67.53%）。最常见的基础肺部疾病是 37 例肺结核（48.05%）。40 例（51.94%）为单纯性肺曲霉菌瘤，37 例（48.05%）为复杂性肺曲霉菌瘤。18 例（23.37%）发生重大并发症。术后死亡率为 3.89%，有 3 例患者死亡。
肺曲霉菌瘤的手术切除是预防复发性咯血的最佳方法，具有较低的发病率和死亡率。
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