Cole F H, Cole F H, Khandekar A, Watson D C
Ann Thorac Surg. 1986 Sep;42(3):255-7. doi: 10.1016/s0003-4975(10)62728-2.
Endoscopic treatment of broncholithiasis is controversial. From 1953 through 1984, 66 operations were performed on 40 patients with broncholithiasis in an endemic area for histoplasmosis. They are reviewed here retrospectively. All patients had cough; wheeze, hemoptysis, and lithoptysis were present in 60%, 45%, and 26%, respectively. Bronchoscopic stone removal was successful in 19%, whereas 21% of patients required no treatment. The 25 patients who were affected more severely required thoracotomy and operations varying from simple lung wedge resection to repair of a bronchoesophageal fistula. Optimum preservation of lung function was a major treatment guideline. All survived, and most have returned to normal preoperative activity. For selected patients, bronchoscopy and stone removal may be all that is required for broncholithiasis.
支气管结石症的内镜治疗存在争议。1953年至1984年期间，在组织胞浆菌病的流行地区，对40例支气管结石症患者进行了66次手术。在此对这些病例进行回顾性分析。所有患者均有咳嗽症状；喘息、咯血和咳出结石分别见于60%、45%和26%的患者。19%的患者经支气管镜取石成功，而21%的患者无需治疗。另外25例病情较重的患者需要开胸手术，手术方式从简单的肺楔形切除到支气管食管瘘修复不等。最大限度地保留肺功能是主要的治疗原则。所有患者均存活，且大多数已恢复到术前的正常活动水平。对于部分患者，支气管镜检查和取石可能是支气管结石症所需的全部治疗。
