结核性毁损肺外科治疗34例分析

Surgical treatment of tuberculous destroyed lung:a report of 34 cases

摘要: 目的:总结结核性毁损肺的外科治疗及并发症的防治措施。方法:对1990~2006年应用全肺切除治疗单侧结核性毁损肺34例的临床资料进行回顾性分析。结果:手术无死亡病例;并发呼吸衰竭2例,脓胸2例,支气管胸膜瘘1例,均采用相应治疗痊愈。结论:外科治疗结核性毁损肺临床效果满意,但要严格掌格手术指征,做好术中循环监护,积极预防残腔感染及支气管胸膜瘘。

Abstract: Objective: To summarize the experience in surgical treatment of tuberculous destroyed lung and the prevention of complications.Methods: The clinical data of 34 cases of tuberculous destroyed lung treated by pneumonectomy from 1990 to 2006 were retrospectively analyzed.Results: No death occurred.Postoperative complications were observed in 5 cases,respiratory failure in 2 cases,bronchopleural fistula in 1 case and pyothorax in 2 cases.All the complications were managed accordingly.Conclusions: Pneumonectomy is effective in treatment of tuberculous destroyed lung.Strict mastery of the operative indication,proper circulation monitoring at operation and meticulous operative procedure are essential for prevention of intrathoracic infections.