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[双侧肺结核的外科治疗]

[Surgical treatment of bilateral pulmonary tuberculosis].

作者信息

Porkhanov V A, Mova V S, Poliakov I S, Grebennikov S V, Marchenko L G

出版信息

Probl Tuberk. 1998(1):36-9.

PMID:9553433
Abstract

Two hundred and eighty two patients with different types of bilateral tuberculous lesion of the lung were operated on. Most (n = 124) patients underwent consecutive operations, 106 one-stage resections of the lung through transsternal access on the one side and video thoracoscopic resections on the other. One-stage bilateral video thoracoscopic operations were made in 52 cases. The greatest number of postoperative complications was noted with multistage operations, which is accounted for a critically ill patient group, advanced processes, concurrent pyoseptic infection. The patients undergone-transsternal resections showed minimum mortality rates with a rather low incidence of postoperative complications.

摘要

对282例患有不同类型双侧肺部结核病变的患者进行了手术。大多数(n = 124)患者接受了连续手术,106例患者一侧通过胸骨正中切口进行一期肺切除术,另一侧进行电视胸腔镜切除术。52例患者进行了一期双侧电视胸腔镜手术。多阶段手术术后并发症最多,这是由于患者病情危重、病情进展、并发脓性感染所致。接受胸骨正中切口切除术的患者死亡率最低,术后并发症发生率也较低。

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