摘要
目的：探讨肺结核空洞内病灶清除、空洞壁折叠缝合术对空洞型肺结核的外科治疗效果。方法：对需外科治疗的空洞型肺结核患者，采用仅清除病变组织，不处理大血管及叶支气管，对引流支气管行缝扎和空洞壁折叠缝合。结果：手术范围小、创伤小、时间短、失血少，手术并发症亦相应减少（Ｐ＜０．０１），术后患者痰抗酸杆菌转阴及肺功能均优（Ｐ＜０．０１）。结论：空洞病灶清除折叠缝合术是治疗空洞型肺结核的有效方法之一。
Objective:To study the effect of surgical treatme nt on patients with cavitary TB using focal cleaning and cavitary wall folding suture.Methods:Thirty patients with cavitary TB were treated by cleaning the diseased tissues,suturing and li gating the drainage bronchi,and folding the cavitary wall for suture.Results:In patients treated by the operation procedure,the operation ra nge was smaller with less wound,and hemorraging,the operation time was shortr an d there were less operative complication s (P<0.01) than in those treated by other procedures.Both the change of the mycobacterium TB from positive to negative in the sputum and the lung function were much better than those of the common operative group (P<0.01).Conclusion:The new operation is one of the most efficient t reatments for cavitary TB.
出处
《山东医科大学学报》
2002年第1期55-56,共2页
Acta Academiae Medicinae Shandong
