肺结核合并支气管扩张的外科治疗  

Surgical treatment of the pulmonary tuberculosis with bronchiectasis

作　　者：蒋良双[1] 吴邦贵[1] 岳冀[1] 李曦[1] 吴桂辉[1] 刘伦旭[2] 伍伫[2] 

机构地区：[1]成都市传染病医院胸外科结核内科,四川成都610061 [2]四川大学华西医院胸外科,四川成都610041

出　　处：《四川医学》2013年第5期670-672,共3页Sichuan Medical Journal

摘　　要：目的探讨肺结核合并支气管扩张的外科治疗。方法对我科2008年1月～2010年12月收治的29例肺结核合并支气管扩张患者的临床资料进行分析总结。结果 29例患者均获手术切除病灶。术后病理证实均为肺结核合并支气管扩张,其肺部均有结核病灶,其中合并空洞12例,合并曲霉菌感染9例;术后再发痰中带血1例,并发症发生率3.4%,本组无死亡病例。结论外科手术切除病灶是治疗肺结核合并支气管扩张最有效的方法。Objective To investigate the surgical treatment of pulmonary tuberculosis with bronchiectasis.Methods Analysis the clinical data of 29 patients,who suffered from pulmonary tuberculosis complicated with bronchiectasis,treated in our department from January 2008 to December 2000.Results 29 patients obtained operation excision of the lesion.The postoperative pathology were pulmonary tuberculosis complicated with bronchiectasis,of which,12 cases merged with tuberculosis cavity,9 cases combined with aspergillus infection;1 cases recurred hemoptysis in the postoperative,the complication rate was 3.4%.There was no mortality.Conclusion The surgical excision of the lesion is the most effective method of treatment of pulmonary tuberculosis with bronchiectasis.

关 键 词：肺结核 支气管扩张 外科手术 

分 类 号：R655.3[医药卫生—外科学]