炎性左主支气管闭塞致左全肺不张的外科治疗  

Surgical Treatment of Complete Atelectasis of the Left Lung Caused by Inflammatory Occlusion of the Left Main Bronchus

作　　者：陈文树[1,2] 徐澄澄[1] 张霓[1] 潘小杰[2] 付向宁[1] 

机构地区：[1]华中科技大学同济医学院附属同济医院胸外科,武汉430030 [2]福建省立医院胸外科,福州350001

出　　处：《华中科技大学学报（医学版）》2012年第5期611-615,共5页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

摘　　要：目的探讨左主支气管炎性闭塞致左全肺不张的治疗方法。方法回顾性分析2008年5月至2010年3月期间,8例左主支气管炎性闭塞致左全肺不张患者的临床资料。结果全组患者均行左主支气管袖式切除成形术,术后恢复良好,术后病理检查均提示左主支气管慢性炎症,术后随访21～42个月,未发现支气管狭窄、肺不张,术后肺功能较术前明显改善。结论对于左主支气管炎性闭塞致左全肺不张患者,内科及介入治疗无效,建议行左主支气管袖式切除成形术,尽量保留健康肺组织,改善术后肺功能,提高患者生活质量。Objective To investigate treatment of complete atelectasis of the left lung caused by inflammatory occlusion on the left main bronchus.Methods Clinical data of 8 patients with complete atelectasis of the left lung caused by inflammatory occlusion on the left main bronchus were analyzed retrospectively from May 2008 to March 2010.Results All patients underwent sleeve resection of the left main bronchus and recovered well,with chronic inflammation on the left main bronchus pathologically.They were followed up for 21-42 months.All of them were alive without bronchial stenosis or atelectasis,and their lung function was significantly improved after operation.Conclusion For patients with complete atelectasis of the left lung caused by inflammatory occlusion on the left main bronchus,medical and interventional therapies are invalid,and sleeve resection of the left main bronchus is recommended as the first choice to preserve healthy lung tissue,improve postoperative lung function and enhance the quality of life.

关 键 词：支气管炎症 支气管闭塞 肺结核 全肺不张 外科治疗 

分 类 号：R562.21[医药卫生—呼吸系统]