[瘢痕性支气管狭窄型支气管内膜结核的手术治疗]
[Operative treatment of the endobronchial tuberculosis with cicatricial bronchiarctia].
作者信息
Yang D, Chen H, Wu Z
机构信息
Department of Thoracic Surgery, First Affiliated Hospital of Guangzhou Medical College.
出版信息
Zhonghua Jie He He Hu Xi Za Zhi. 1996 Jun;19(3):158-60.
OBJECTIVE
The experience of surgical treatment in 32 patients with cicatricial brochiarctia by endobronchial tuberculosis was reported.
METHOD
The modes of surgical treatment in the series include: sleeve resection was done in 19 cases, lobectomy in 4 cases, pneumonectomy in 7, and left principal bronchial reconstruction in 2 cases.
RESULTS
The results were excellent and without operative death. Serious postoperative complication was bronchopleural fistula in one case. The patient was treated by surgical repair of the bronchial stump and buttressed with vascularized pedicle flaps of omentum in the second operation. 2 cases of 32 patients were affected with mild stenosis of bronchial anestomosis after a follow-up of 12 to 18 months.
CONCLUSIONS
It was suggested that when the patient developed the endobronchial tuberculosis with cicatricial bronchiarctia, corrective operation should be performed as early as possible, and the sleeve resection should be the first choice.
目的
报告32例瘢痕性支气管狭窄合并支气管内膜结核患者的外科治疗经验。
方法
该系列手术治疗方式包括：袖状切除术19例，肺叶切除术4例，全肺切除术7例，左主支气管重建术2例。
结果
效果良好，无手术死亡。术后严重并发症为1例支气管胸膜瘘。该患者在二次手术中接受了支气管残端的手术修复并用带蒂大网膜瓣加固。32例患者中有2例在随访12至18个月后出现轻度支气管吻合口狭窄。
结论
建议瘢痕性支气管狭窄合并支气管内膜结核患者应尽早行矫正手术，袖状切除术应作为首选。
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