期刊文献+

肺切除术治疗肺曲菌球病40例疗效分析 被引量:2

Efficacy analysis of pneumonectomy for pulmonary aspergilloma:a report of 40
下载PDF
导出
摘要 目的:探讨肺曲菌球病的手术适应证及手术治愈率,减少术后并发症。方法:回顾性分析1997年1月~2007年1月间经外科手术治疗的40例肺曲菌球病患者的资料。40例中采用病灶肺叶切除术28例,复合切除(肺叶+肺段或楔形切除)5例,肺段切除3例,肺楔形切除2例,空洞病灶清除折叠缝合2例。结果:无手术死亡,40例患者中治愈39例,治愈率达97.5%。术后并发症6例(15%),其中肺复张不全4例,肺炎1例,支气管胸膜瘘、脓胸1例。术后35例随访1~5年,除1例2次手术外,其余34例均治愈,未见复发。结论:以肺切除为主的外科手术是治疗肺曲菌球病的首选方法,客观可靠的术前评估是手术成功和减少术后并发症的关键。电视胸腔镜辅助小切口开胸手术具有创伤小、恢复快、术后并发症少的优点,适用于肺基础病变局限、胸膜粘连较轻的患者。 Objective:To investigate the surgical indications and cure rate of pulmonary aspergilloma,and to reduce postoperative complications.Methods:Clinic data of 40 pulmonary aspergilloma patients with surgeryt were analyzed retrospectively from January 1997 to January 2007.It included 28 cases with pulmonary lobectomy,5 with lung lobe+segment or wedge excision,3 with segment resection of lung,2 with wedge excision of lung,2 with intracavitary focal cleaning and wall folding suture.Results:Thirty-nine of 40 cases had been cured with the cure rate of 97.5% and no postoperative deaths.There were postoperative complications in 6 patients(15%)including incomplete reexpansion(4 cases),pneumonia(1 case),bronchopleural fistula(1 case),and empyema(1 case).Thirty-five patients were followed up for 1 to 5 years.It showed that except one case with reoperation,other 34 cases were in cure and there was no recurrence.Conclusion:Surgical resection or pulmonary aspergilloma should be selected firstly whenever the diagnosis of aspergilloma is confirmed.Objective and reliable preoprative evaluation is the key to successful operation and reducing postperative complications.Because of minimal invasiveness,short length of hospital stay and less postoperative complications,video-assisted minithoraetomy surgery may be superior to open thoracotomy in patients with localized undedying pulmonary disease and less pleural adhesions.
出处 《海南医学院学报》 CAS 2010年第4期458-460,472,共4页 Journal of Hainan Medical University
基金 海南医学院科研基金资助学报项目(0020100115)~~
关键词 肺曲菌球病 外科手术 并发症 Pulmonary aspergilloma Surgical treatment Complication
  • 引文网络
  • 相关文献

参考文献14

  • 1成向阳,何建行,杨运有,吴哲凡,杨德康.肺曲霉菌病的外科治疗[J].中国胸心血管外科临床杂志,2005,12(4):289-290. 被引量:16
  • 2朱纪中.肺曲菌球病28例的诊断与治疗[J].实用临床医药杂志,2009,13(5):109-110. 被引量:7
  • 3Lee JG, Lee CY, Park IK, et al. Pulmonary aspergilloma: analysis of prognosis in relation to symptoms and treatment[J]. J Thorac Cardiovasc Surg, 2009,138 (4) : 820-825.
  • 4Horger M, Einsele H, Schumacher U, et al. Invasive pulmonary aspergillosis: frequency and meaning of the "hypodense sign" on unenhanced CT[J]. Br J Radiol, 2005,78(392) 1697-703.
  • 5Vaideeswar P, Prasad S, Deshpande JR, et al. Invasive pulmonary aspergillosis: A study of 39 cases at autopsy[J]. J Postgrad Med, 2004.50(1) :21-26.
  • 6Kristan SS, Kern I, Music E. Invasive pulmonary as2 pergillosis[J]. Respiration, 2002,69(6):521-525.
  • 7Brik A, Salem AM, Kamal AR, et al. Surgical outcome of pulmonary aspergilloma[J]. Eur J Cardiothorae Surg, 2008,34(4) :882-885.
  • 8Caidi M, Kabiri H, Al-Aziz S, et al. Surgical treatment of pulmonary aspergilloma. 278 cases[J]. Presse Med, 2006,35(12 Pt 1) :1819-1824.
  • 9Guerra M, Santos N, Miranda J, et al. Surgical management of pulmonary aspergilloma[J]. Rev Port Cir Cardiotorac Vasc, 2008,15(3) : 135-138.
  • 10Brik A, Salem AM, Kamal AR, et al. Surgical outcome of pulmonary aspergilloma[J]. Eur J Cardiothorac Surg, 2008,34(4): 882-885.

二级参考文献37

共引文献40

同被引文献8

引证文献2

二级引证文献2

相关主题

;
使用帮助 返回顶部