[对侧肺切除术后行单肺切除及全肺切除术治疗肺结核的经验]
[An experience of single lung resection and pneumonectomy after contralateral lung resection in treatment of tuberculosis].
作者信息
Giller D B, Martel' I I, Imagozhev Ya G, Enilenis I I, Bizhanov A B, Glotov A A
机构信息
M.I. Perelman Chair of Phthisiopulmonology and Thoracic Surgery, I.M. Sechenov First Moscow State Medical University, Moscow, Russia.
出版信息
Khirurgiia (Mosk). 2015(9):35-42. doi: 10.17116/hirurgia2015935-42.
AIM
To improve the efficiency of treatment of single lung destructive tuberculosis.
MATERIAL AND METHODS
15-year experience of operations for destructive tuberculosis performed by the same surgeon including 18 resections of the single lung and 19 pneumonectomies after previous partial lung resection is presented in the article.
RESULTS
Surgical management of patients with destructive tuberculosis of single lung provides positive results in more than 90% of cases. However the frequency of its application is still low according to literature data. In case of destructive tuberculosis of single lung partial resection is more frequently indicated if fibrous-cavernous tuberculosis of the upper lung (up to 4 damaged segments), persistent bacterial excretion on the background of adequate chemotherapy and pathogen's drug resistance are present.
目的
提高单侧肺毁损性肺结核的治疗效率。
材料与方法
本文介绍了同一位外科医生15年来对毁损性肺结核进行手术的经验，包括18例单侧肺切除术和19例在先前部分肺切除术后进行的全肺切除术。
结果
单侧肺毁损性肺结核患者的手术治疗在90%以上的病例中取得了积极效果。然而，根据文献数据，其应用频率仍然较低。对于单侧肺毁损性肺结核，如果存在上叶纤维空洞性肺结核（多达4个受损肺段）、在充分化疗背景下持续细菌排泄以及病原体耐药，则更常采用部分切除术。
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