肺曲霉病外科治疗分析(附15例报告)

Surgical treatment of pulmonary aspergillosis(Report of 15 cases)

目的:探讨肺曲霉病的诊断、外科手术治疗原则、方法及效果。方法:回顾性分析我科2005年至2011年手术治疗的15例采用外科手术治疗的肺曲霉病患者的临床资料和随访结果。结果:15例患者术后证实均为曲霉病,术前诊断符合率为93.3%(14/15),影像学诊断符合率为73.3%(11/15),全组无手术死亡,随访4个月～6年无肺曲霉病复发和播散。结论:手术治疗肺曲霉病能消除症状,预防咯血复发,减少抗真菌药物对患者影响,可根治进而延长患者生命提高患者生活质量。因此,一旦确诊应积极手术治疗。

Objective：We attempt to discuss the diagnosis of pulmonary aspergillosis and to research its surgical treatment in the aspects of principle,method and effect.Methods：Review the clinical information and the follow-up results of patients who infected the pulmonary aspergillosis and accepted the operation subsequently in our department from 2005 to 2011.Results： 15 patients were diagnosed definitely with pulmonary aspergillosis after operation.The consistency rate in preoperative diagnosis was 14/15.The consistency rate of imagine was 11/15.No one was dead after operation.Finally,no patient has the recurrence and spreading of pulmonary aspergilloma after a serious of tracking observation from 4 months to 6 years.Conclusion： The operation not only eliminates the symptoms,prevents the recurrence of hemoptysis and alleviates the side effect of antifungal agents,but may also be a radical cure of pulmonary aspergillosis and improve the living standards of patients.Therefore,surgical treatment should be advocated when the diagnosis was confirmed