31例肺曲霉菌病的外科治疗

Surgical treatment of pulmonary aspergillosis in 31 patients

目的探讨肺曲霉菌病的临床特点与外科治疗原则。方法回顾性分析医院2000年1月-2011年9月31例肺曲霉菌病的临床资料及手术治疗结果。结果 31例肺曲霉菌病患者均行手术治疗,无手术相关死亡病例,术后发生并发症7例,发生率为22.6%,其中3例出血,2例肺漏气时间延长(>7d),2例肺不张伴肺炎;术后随访28例,随访时间为3～141个月,除1例术后考虑肺曲霉菌病复发可能,其余患者无咯血或咳血痰。结论外科手术是肺曲霉菌病最有效的治疗方法,应根据病灶具体情况选择不同手术方式。

OBJECTIVE To explore the clinical manifestation and outcomes of surgical treatment of pulmonary aspergillosis. METHODS A retrospective analysis was carried out for 31 patients with confirmed pulmonary aspergillosis from Jan 2000 to Sep 2011. RESULTS All the 31 patients with pulmonary aspergillosis underwent the surgical treatment, no case died, the postoperative complications developed in 7 patients with the incidence of 22.6 %, there were three patients with hemorrhage, 2 cases with prolonged air leakage （longer than 7 days） , and 2 cases with ateleetasis and pneumonia; 28 patients were enrolled into the follow-up period, the span was between 3 months and 141 months, hemoptysis was occurred in none of the patients except one case with the possibility of reoccurrence of pulmonary aspergillosis. CONCLUSION The surgery is the most effective way to treat the pulmonary aspergillosis,it is necessary to select the surgical approach based on the lesions.