Bronchoplasty for treating the whole lung atelectasis caused by endobronchial tuberculosis in main bronchus
Bronchoplasty for treating the whole lung atelectasis caused by endobronchial tuberculosis in main bronchus
复制标题
支气管成形术治疗主支气管内支气管结核所致全肺不张
DOI：
10.21037/jtd.2018.06.126
复制
发表时间：
2018-07-01
影响因子：
2.5
通讯作者：
Xu, Chengcheng
中科院分区：
文献类型：
--
作者：
Li, Zhongcheng;Mao, Guocai;Xu, Chengcheng
工作背景：支气管内膜结核（EBTB）引起的全肺不张常行全肺切除术，术后并发症多，生活质量差。方法：对8例主支气管结核所致全肺不张患者行支气管成形术治疗，其中3例为左主支气管成形术，3例为右主支气管成形术，3例为左主支气管成形术，1例为左主支气管成形术。2例行右肺中上叶袖状切除术，3例行左肺上叶袖状切除术。结果：所有患者均经手术治愈出院，吻合口通畅，肺扩张良好。结论：支气管成形术是治疗EBTB引起的主支气管全肺不张的有效方法，长期药物治疗无效。预后良好。
Background: Patients with the whole lung atelectasis caused by endobronchial tuberculosis (EBTB) in main bronchus usually undergo pneumonectomy, which may result in a large number of complications and poor quality of life. In the study, we summarized our experience with bronchoplasty treatment for the whole lung atelectasis caused by EBTB in main bronchus, in which long-term medical therapy failed.Methods: Eight patients with whole lung atelectasis, who suffered from EBTB in main bronchus, were treated by bronchoplasty: 3 patients were treated by bronchoplasty for the left main bronchus; 2 patients were treated by sleeve resection of right upper and middle lobes; and 3 patients were treated by sleeve resection of left upper lobe. The patients were followed up for a period of time.Results: All the patients were cured by surgery, were discharged from hospital uneventfully, had anastomotic patency and good lung expansion. Neither bronchopleural fistula nor recurrence was observed.Conclusions: Bronchoplasty is an effective treatment for atelectasis of the whole lung caused by EBTB in the main bronchus, in which long-term medical therapy failed. Prognosis was favorable.