摘要
目的报告结核性气管、支气管狭窄的外科治疗经验。方法分析的３５例中气管狭窄２例，支气管狭窄３３例。全肺切除１４例，肺叶切除１３例，肺叶切除支气管成形３例，右全肺切除加气管下段部分切除２例，主支气管节段切除１例，右全肺切除加气管成形术１例，气管切开、气管下段肉芽肿摘除术１例。结果术后效果良好，无支气管胸膜瘘、支气管再狭窄和手术死亡。结论对气管、支气管结核性狭窄，将狭窄之气管、支气管连同受累肺叶一并切除并加气管或支气管成形术为首选方式。
Objective To report the experience of surgical treatment of tuberculous tracheobronchial stenosis. Method Two trachial stenosis and 33 bronchial stenosis cases were analyzed. The modes of surgical treatment included: pneumonectomy in 14 cases,lobectomy in 13 ,lobectomy combined with bronchoplasty in 3,right pneumonectomy and partial trachial resection in 2,right main bronchus sleeve resection in 1, endotrachial granuloma resection in 1,right pneumonectomy and partial trachial resection combined with trachial reconstruction in 1. Result There was no bronchopleural fistula、 tracheobronchial restenosis and death due to operation. Conclusion The first choice for the treatment of tuberculous tracheal or bronchial stenosis is lobectomy or pneumonectomy with trachial or bronchial plasty surgery.
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
1998年第7期402-403,共2页
Chinese Journal of Tuberculosis and Respiratory Diseases
