221例支气管扩张症的外科治疗效果分析

Curative Effect Analysis of Surgical Treatment in 221 Cases with Bronchiectasis

目的总结支气管扩张症的外科治疗经验。方法对221例支气管扩张症的临床资料进行回顾性分析。结果外科治疗221例,痊愈202例,缓解19例,治愈率91.40%,无支气管胸膜瘘发生,无死亡病例。结论术前明确病变的部位和范围,把握好手术适应症是外科治疗的关键所在;正确充分的围术期处理是取得良好外科治疗效果的保证;合适的病例双侧开胸手术也是可行的。

Objective To summarize the experience of surgical treatment for bronchiectasis.Methods A retrospective analysis was made to the clinical data of 221 cases with bronchiectasis.Results Surgical treatment was performed to 221 cases,202 cases recovered and 19 cases had relief;the curative rate was 91.40%;no bronchopleural fistula nor death occurred.Conclusions To make clear the site and scale of the lesion before operation and to take a strict selection of operation indications are the key points of surgical treatment;correct peri-operative measures lead to good effect of surgical treatment;bilateral thoracotomy is feasible for proper cases.