266例毁损肺的外科治疗  

Surgical Treatment of 266 Cases of Unilateral Destroyed Lung

作　　者：王子彤[1] 杨声 李世业[1] 阮军忠[1] 韩鸣[1] 张天辉[1] 张海青[1] 

机构地区：[1]北京胸部肿瘤结核病医院

出　　处：《结核病与胸部肿瘤》2006年第2期106-109,共4页Tuberculosis and Thoracic Tumor

摘　　要：目的总结单侧毁损肺的外科治疗经验。方法选取从1983年10月至2004年2月手术治疗毁损肺266例进行回顾性分析。结果男性120例，女性146例。年龄19至68岁；左侧179例，右侧87例。MVV〈30％25例。病理结果：肺囊肿87例，结核合并支扩129例，肺化脓症11例，支扩并曲霉菌感染39例。伴发糖尿病42例，占15．8％。围术期死亡3例，占1．13％，手术并发症12例，呼吸机支持7例。结论毁损肺临床可首选手术治疗。手术不但切除病变组织。还可明确病因。改善肺功能。重度低肺功能对毁损肺病人并非都是手术禁忌证。Objective To sum up the experiences of surgical treatment for unilateral destroyed lung. Methods 266 patients who underwent pneumonectomy for unilateral destroyed lung from October 1983 to February 2004 were retrospectively analyzed. Restills 120 men, 146 women, 19 to 68 yeara of age. 179 cases were in left lung and 87 cases in right. MVV%〈30% in 25 patients. The pathologic results include 87 eases broachopulmonary cysts, 129 eases TB accompanied by bronchiectasis, 11 cases abscess, 39 cases bronchiectasis with fungal infection. 42 patients complicated by diabetes （15.8%）. The early mortality was 1.13% （3/266）, postoperative complication was 4.51% （12/266） and 7 cases were needed respiratory machine support. Conclusion The treatment of destroyed lung is the operation of first choice. It is not only removed the pathological change tissues, but also can determine the pathogeny arid improved the lung function. All severe hypofunction of lung are not contraindications.

关 键 词：毁损肺 外科手术 

分 类 号：R655.3[医药卫生—外科学] R734.205[医药卫生—临床医学]