低肺功能肺结核毁损肺患者行全肺切除手术的疗效探讨

目的总结全肺切除治疗低肺功能肺结核毁损肺患者的临床疗效。方法回顾分析我院近三年的10例低肺功能肺结核毁损肺患者行全肺切除手术的临床资料,其中行左全肺切除6例,右全肺切除4例。结果术后未发生一例呼吸衰竭,所有患者均在术后三个月、六个月及十二个月复查肺功能,术后肺功能状况均有明显改善。结论对于肺功能处在手术禁忌症的部分低肺功能肺结核毁损肺患者,术前做好认真的筛选,给予充分的肺功能评估,仍然能够通过全肺切除手术达到良好的治疗效果。

Analysis of clinical data of lower lung function with tubercular destroyed lung treated by pleuroponeumonectomy

Objective Summarize the clinical effect that the tuberculosis patients who have the destroyed lung and lower lung function are cured by pleuroponeumonectomy.Methods Review and analysis the clinical data in 10 pleuroponeumonectomies which were implemented on the tuberculosis patients who have the destroyed lung and lower lung function during 3 years.There were 6 cases with the left pleuroponeumonectomy and 4 cases with the right pleuroponeumonectomy.Results All the patients without the respiratory failure were reviewed the lung function after the operations in three months,six months and twelve months.All patients’lung function conditions are improving remarkably after the operations.Conclusion For a part of the patients who have the destroyed lung and lower lung function in the operation contraindication disease still be able to pass the pleuroponeumonectomy to achieve the favourable treatment effect,but one must be make serious screening and give sufficient evaluation of lung function.