21世纪的肺结核胸廓成形术。

Thoracoplasty for Tuberculosis in the Twenty-first Century.

作者信息

Krasnov Denis, Krasnov Vladimir, Skvortsov Dmitry, Felker Irina

机构信息

Novosibirsk Tuberculosis Research Institute, Federal State Budgetary Institution, Okhotskaya Street 81a, Novosibirsk 630040, Russian Federation.

出版信息

Thorac Surg Clin. 2017 May;27(2):99-111. doi: 10.1016/j.thorsurg.2017.01.003. Epub 2017 Mar 2.

DOI:10.1016/j.thorsurg.2017.01.003

PMID:28363378

Abstract

A new modification of osteoplastic collapse thoracoplasty performed with a minimally invasive approach has been proposed. This operation is a variant of extrapleural thoracoplasty used in the treatment of destructive tuberculosis. The benefits of the proposed method, the surgical techniques, and the results of the authors' research are described. Compared with the conventional variant of osteoplastic thoracoplasty, the rates of bacteriologic conversion (odds ratio [OR], 1.84; 95% confidence interval [CI], 1.72-1.97) and of the closure of cavities (OR, 2.13; 95% CI, 1.98-2.28) have been proved to be higher when the operation is performed with a minimally invasive approach.

摘要

一种采用微创方法进行的骨成形性胸廓塌陷术的新改良方法已被提出。该手术是用于治疗破坏性肺结核的胸膜外胸廓成形术的一种变体。文中描述了该方法的优点、手术技术以及作者的研究结果。与传统的骨成形性胸廓成形术相比，采用微创方法进行手术时，细菌学转阴率（优势比[OR]，1.84；95%置信区间[CI]，1.72 - 1.97）和空洞闭合率（OR，2.13；95% CI，1.98 - 2.28）已被证明更高。