Voronov A A, Aleksandrov O V, Kalechenkov M K, Sharov Iu K
Vestn Khir Im I I Grek. 1986 Dec;137(12):3-6.
Under analysis were the nearest results of resection of the lungs for bronchoectasias in 360 patients aged from 5 to 68. Favorable nearest results were noted in 96.4% of the patients operated upon, with no lethal outcomes. Pleural complications met in 11% of the cases proved to be consequences of inadequate hermetic quality of the pulmonary and bronchial sutures. Remote results from 1 to 10 years were studied in 267 patients. Complete recovery was achieved in 29.9%, considerable improvement in 53.2%, the condition failed to change in 13.8%, aggravation was noted in 3.1%. Best results were obtained after operations performed at the age of 5-10 years, radical treatment in unilateral and bilateral bronchoectasias. Long-term results of the operations were influenced by pleuropulmonary complications, not treated chronical bronchitis, emphysematous alterations in the residual portions of the lungs.
对360例年龄在5至68岁之间因支气管扩张症接受肺切除手术的近期结果进行了分析。96.4%接受手术的患者取得了良好的近期效果,无死亡病例。11%的病例出现的胸膜并发症被证明是肺和支气管缝合线气密性不足的后果。对267例患者进行了1至10年的远期结果研究。完全康复的占29.9%,显著改善的占53.2%,病情未改变的占13.8%,病情加重的占3.1%。5至10岁时进行手术,对单侧和双侧支气管扩张症进行根治性治疗,取得了最佳效果。手术的长期结果受胸膜肺并发症、未治疗的慢性支气管炎、肺残余部分的肺气肿改变影响。