支气管扩张症外科治疗89例分析  

To discuss the surgical treatment of bronchiectasis

作　　者：袁宁[1] 吴端青[1] 

机构地区：[1]重庆市第三人民医院胸外科,400014

出　　处：《重庆医学》2010年第8期910-910,913,共2页Chongqing medicine

摘　　要：目的探讨支气管扩张症的临床诊断及外科治疗效果。方法回顾性分析1983～2008年手术治疗89例支气管扩张症患者的诊断和治疗情况。结果术后64例单叶或双叶支气管扩张患者症状消失，25例双侧或广泛性支气管扩张患者症状明显改善。全组无手术死亡病例。结论掌握手术适应证和肺切除的范围，可降低手术死亡率和并发症，提高治疗效果。肺切除对治疗单叶或双叶支气管扩张疗效显著，尽可能完全切除病灶是获得最佳治疗效果的前提。Objective To discuss the clinal diagnosis and the effect of surgical treatment of bronchiectasis. Methods A retrospective analysis on the clinical data of 89 cases of bronchiectasis subject to surgical treatment from 1983 to 2008 was performed. Results After operation,the symptoms disappeared in 64 cases with single or double broncbiectasis,and symptoms were improved in 25 cases with both side or extensive double lobe bronchiectasis. No patient died. Conclusion Studying well of the surgical indications and the extent of the lung resection, can reduce operative mortality and complications, and improve the treatment outcome. An significant efficaty has been found in treatment of single leaf or double leaves bronchiectasis with lung resection. But complete resection of lesions is the key to get the best treatment outcome.

关 键 词：支气管扩张症 外科治疗 

分 类 号：R655.3[医药卫生—外科学]