Lee D J, Conlan A A
S Afr Med J. 1985 May 17;67(20):817-9.
From July 1979 to July 1982, 29 cases of childhood bronchiectasis were encountered at Leratong Hospital. They were retrospectively divided into two groups: 16 patients underwent surgical intervention and the other 13 patients received medical treatment only. Symptoms and signs were reviewed and findings on bronchography were studied. The left lower lobe was the most common site of involvement, and the lingular segment was invariably also affected by bronchiectatic changes. Ten of the surgical patients (63%) underwent pneumonectomy. In 75% of the surgical group there was an excellent or good result after surgery, while a good result was achieved in 40% of those receiving medical treatment only. We have reviewed other large series to compare surgical and medical management, and discuss factors that may influence the outcome of surgical treatment.
1979年7月至1982年7月期间，勒拉通医院收治了29例儿童支气管扩张症患者。这些患者被回顾性地分为两组：16例患者接受了手术干预，另外13例患者仅接受了药物治疗。对症状和体征进行了复查，并研究了支气管造影的结果。左下叶是最常受累的部位，舌段也总是受到支气管扩张性改变的影响。10例手术患者（63%）接受了肺切除术。手术组75%的患者术后效果为优或良，而仅接受药物治疗的患者中40%取得了良好的效果。我们回顾了其他大型系列研究以比较手术治疗和药物治疗，并讨论可能影响手术治疗结果的因素。
