摘要
Abstract
Objective To summarize the principles , techniques , and effectiveness of the surgical treat-ment for pulmonary aspergillosis.Methods The clinical data of 34 pulmonary aspergillosis patients who had undergone surgical treatment in our department from January 1986 to December 2013 were retrospectively ana-lyzed.Three patients with diffuse lesions manifested by CT image received wedge resection to obtain pathologi-cal tissues.Thirty-one patients with localized lesions received complete resection , in whom the surgical proce-dures included lobectomy ( n=26 ) , segmentectomy ( n=3 ) , and wedge resection ( n=2 ) .Thoracotomy was performed in 27 patients and video-assisted thoracoscopic surgery in 7 patients.Results No perioperative death was noted.All the 34 patients were pathologically confirmed as with pulmonary aspergillosis .Five pa-tients ( 14.7%) suffered from postoperative complications including pulmonary embolism ( n=1 ) , acute pul-monary edema ( n=1 ) , pleural effusion ( n=1 ) , prolonged air leak ( n=1 ) , and wound disruption ( n=1 ) . All patients were successfully discharged 2-34 days after the surgery , and the average hospital stay was (10.1 ± 6.2) days.No relapse was noted during the 1-16 years of follow-up.Conclusions For patients with suspec-ted pulmonary aspergillosis , which may present as diffuse lung lesions , surgical biopsy provides the “golden standard” of pathological and pathogenic diagnosis .For patients with localized pulmonary aspergillosis , surgical treatment can completely remove the lesions , provide definite pathological diagnosis , and effectively relieve the symptoms .关键词
肺曲霉菌病/胸外科手术Key words
pulmonary aspergillosis/thoracic surgical procedures分类
医药卫生
