Souilamas R, Riquet M, Le Pimpec Barthes F, Debrosse D, Manac'h D, Marin I, Debesse B
Service de Chirurgie Thoracique, Hôpital Laennec, Paris.
Rev Pneumol Clin. 1995;51(5):276-8.
Fifty eight patients were treated for mediastinal tuberculous adenopathies in the thoracic surgery department from 1986 to 1992. Surgery was diagnostic in 49: mediastinoscopy n = 42, left anterior mediastinotomy n = 3, thoracotomy n = 3 and video assisted surgery n = 1. Surgery was in view of cure in 9: bronchial fistula despite medical treatment n = 6, recurrence under medical treatment n = 3. Mediastinal tuberculous adenopathies rarely complicate in adults. Surgical treatment is quickly effective in prolonging and complicating cases under medical treatment and also probably diminishes the risk of bronchial and pulmonary sequellaes.
1986年至1992年期间，胸外科对58例纵隔结核性淋巴结病患者进行了治疗。49例手术用于诊断：纵隔镜检查42例，左前纵隔切开术3例，开胸手术3例，电视辅助手术1例。9例手术旨在治愈：尽管接受了药物治疗仍有支气管瘘6例，药物治疗期间复发3例。纵隔结核性淋巴结病在成人中很少出现并发症。手术治疗对于药物治疗下病情迁延和出现并发症的病例迅速有效，并且可能也降低了支气管和肺部后遗症的风险。
