Ruan Junzhong, Zhang Tianhui, Li Fugen, Duan Yong, Han Ming, Wang Zitong
Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University, Beijing 101149, China.
Zhongguo Fei Ai Za Zhi. 2018 Apr 20;21(4):320-322. doi: 10.3779/j.issn.1009-3419.2018.04.19.
Bronchial tuberculosis is a common complication of pulmonary tuberculosis. The present report is to investigate and analyze the indication and efficacy of surgical treatment of bronchial stricture due to severe endobronchial tuberculosis, when the drug and endoscopic treatment were no effect.
Reviewed the clinical-pathological records documenting the surgical outcomes in 36 bronchial stricture due to severe endobronchial tuberculosis who underwent lobectomy or pneumonectomy enrolled in our hospital between January 2000 and February 2016. Pneumonectomy in 8 cases, lobectomy in 23 cases, sleeve resection in 5 cases.
No intraoperative or early postoperative death occurred. Six patients developed complications. All 6 cases recovered well after treatment.
Surgical treatment is still the recommended treatment modatity for bronchial stricture caused by endobronchial tuberculosis due to its good results. It should be performed in time when the drug and intraluninal treatment were no effect for avoiding of being progeressed.
支气管结核是肺结核的常见并发症。本报告旨在探讨和分析在药物及内镜治疗无效时，外科手术治疗重度支气管内膜结核所致支气管狭窄的适应证及疗效。
回顾性分析2000年1月至2016年2月在我院接受肺叶切除术或全肺切除术的36例重度支气管内膜结核所致支气管狭窄患者的临床病理记录。全肺切除术8例，肺叶切除术23例，袖状切除术5例。
术中及术后早期均无死亡发生。6例患者出现并发症。经治疗后，所有6例均恢复良好。
手术治疗因其良好的效果，仍是支气管内膜结核所致支气管狭窄的推荐治疗方式。当药物及腔内治疗无效时，应及时进行手术治疗以避免病情进展。
