Zamir O, Lernau O Z, Springer C, Aviad I, Godfrey S, Nissan S
Department of General and Paediatric Surgery, Hadassah University Hospital Mount Scopus, Jerusalem, Israel.
Z Kinderchir. 1987 Oct;42(5):282-5. doi: 10.1055/s-2008-1075603.
Twenty children with bronchiectasis underwent pulmonary resections during an 8-year period. All patients suffered from significant symptoms that did not respond to medical treatment and had localised disease. In 7 patients bronchiectasis developed following foreign body aspiration and in two the aetiology was cystic fibrosis and immune deficiency, respectively. The lower lobes were most commonly involved. Atelectasis of the remaining ipsilateral lung was the most common postoperative complication occurring in four patients. One patient required reoperation for recurrent symptoms. Fifteen out of 18 patients who underwent curative resections were asymptomatic in the longterm follow-up. It is concluded that for children with significant symptoms due to localised bronchiectasis that fails to respond to medical treatment, resection of the affected lobes is indicated.
在8年期间，20名支气管扩张患儿接受了肺切除术。所有患者均有严重症状，药物治疗无效且病变局限。7例患者支气管扩张由异物吸入引起，另2例病因分别为囊性纤维化和免疫缺陷。下叶受累最为常见。同侧剩余肺叶肺不张是最常见的术后并发症，4例患者出现该情况。1例患者因症状复发需要再次手术。18例行根治性切除术的患者中，15例在长期随访中无症状。结论是，对于因局限性支气管扩张导致严重症状且药物治疗无效的儿童，建议切除受累肺叶。
