Audry G, Balquet P, Vazquez M P, Dejerine E S, Baculard A, Boulé M, Grimfeld A, Gruner M
Service de Chirurgie Viscérale Infantile, Hôpital Armand Trousseau, Paris, France.
Ann Thorac Surg. 1993 Aug;56(2):323-7. doi: 10.1016/0003-4975(93)91168-m.
Right pneumonectomy can lead to severe respiratory impairment due to stenosis of the left main bronchus. This syndrome is usually treated by inserting a fixed-volume prosthesis but, in children, expandable prostheses have the advantage of being adaptable to growth and permit progressive recentering of the mediastinum. We report 3 such cases, with the results of pulmonary function tests. The patients were aged 11, 17, and 22 years at the time of implantation and had undergone pneumonectomy during childhood for either bronchiectasis or complete pulmonary sequestration. All 3 patients are doing well, with a follow-up of 1 to 3 1/2 years. Pulmonary function tests have shown a substantial improvement in the obstructive syndrome in 2 patients whereas, in the third patient, in whom the contralateral lung was not perfectly healthy, the functional improvement was only moderate.
右肺切除术可因左主支气管狭窄导致严重的呼吸功能损害。这种综合征通常通过插入固定容积的假体进行治疗，但对于儿童来说，可扩张假体具有能适应生长并允许纵隔逐渐重新居中的优势。我们报告3例此类病例及肺功能测试结果。植入时患者年龄分别为11岁、17岁和22岁，童年期因支气管扩张或完全性肺隔离症接受了肺切除术。所有3例患者情况良好，随访时间为1至3.5年。肺功能测试显示，2例患者的阻塞性综合征有显著改善，而第3例患者对侧肺并非完全健康，其功能改善仅为中度。
