支气管扩张症的外科治疗方法及效果观察  

Surgical management and therapeutic effect of bronchiectasis

作　　者：何泽锋[1] 王建军[1] 王家顺[1] 汪文东[1] 詹曦[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院胸外科,武汉430022

出　　处：《华中医学杂志》2006年第5期355-357,共3页Central China Medical Journal

摘　　要：目的 探讨支气管扩张症的外科治疗要领。方法 回顾分析1992年3月～2006年5月诊治的支气管扩张症261例临床资料。结果 261例支气管扩张症经外科治疗后治愈（症状消失，全身状况改善）229例（87．7％）、好转（症状好转，药物治疗能控制症状）26例（10．0％）、死亡6例（2．3％）。术后并发肺不张、胸腔积液11例，肺部感染5例，脓胸伴切口感染3例，并发支气管胸膜瘘2例。结论 外科治疗是支气管扩张症最为有效的办法，但必须通过把握好适应证、作好充分术前准备、选择合理治疗时机和治疗方式、防范并发症的发生等环节来提高疗效。Objective To explore the surgical management feature of bronehieetasis. Methods Cases of bronehieetasis from March 1992 to May 2006 were treated with surgical intervention and clinical data were analyzed retrospectively. Results The symptoms disappeared in 229（87. 7%）, symptoms improved in 26 （10. 0 %） and dead in 6 （2.3 % ）. The complication of pulmonary atelectasis and pleural effusion was in 11 cases, pulmonary infection in 5 cases, empyema in 3 cases, bronchopleural fistula in 2 cases. Conclusion Surgical management is the optimal treatment for bronchiectasis. Only through mastering indication, preparing preoperative management, selecting suitable therapentic opportunity and therapentic pattern, preventing postoperative complication, can we improve therapeutic effect of bronchiectasis.

关 键 词：支气管扩张症 外科治疗 治疗效果 

分 类 号：R655.3[医药卫生—外科学]