单侧结核性毁损肺的外科治疗体会

Experience of Surgical Therapy in Single Tuberculosis Destroyed lung

目的：探讨全肺切除术治疗单侧毁损肺的临床疗效。方法：回顾分析我院25例毁损肺患者的临床资料,并对其麻醉和手术方法进行总结。结果：25例患者术后拔除胸腔调压管时间为4~9 d,平均5 d;其中术前8例痰菌阳性者术后痰菌全部阴转。术后3个月内发生脓胸1例,3个月后发生1例脓胸支气管残端瘘,均行胸腔闭式引流术;1例发生术后出血,经2次开胸止血后治愈;全组无死亡病例。结论：全肺切除治疗单侧毁损肺安全可行、疗效可靠,但应积极防止并发症的发生。

Objective：To explore clinical effects of pneumectomy in single tuberculosis destroyed lung.Methods：To analyses 25 cases clinical materials of destroyed lung retrospectively and summarize the anesthesia and operation approach.Results：The time of removing eurge pipe is from 4 days to 9 days,the average is 5 days;the hospitalization time is from 12days to 25 days,the average is 18 days;the sputum bacteria of 8 cases tuberculosis destroyed lung become negative in the postoperation.the complications are empyema and brochusofistula and haemorrhage in the postoperation,but no patient is die.Conclusion：It is an safe and reliable approach that pneumectomy treat single tuberculosis destroyed lung,but prevent postoperative complications positively.