DIAGNOSIS AND SURGICAL TREATMENT OF BRONCHOGENIC CYSTS

Between 1974 and 1993, 22 patients with bronchogenic cysts were operated on in our hospital; there were 14 men and 8 women, ranging in age from 11 to 62 years, The cyst locations were mediastinal in 13 (59.1%) and intrapulmonary in 9 (40.9%). There were symptoms (chest pain and recurrent bronehiolits) in 20 patients (91%). The preoperative complications included infection in the lung and in the cyst and dysphagia due to esophageal eornpression. Chest pain was the main symptom in mediastinal cyst and recurrent infection of lung in intrapulmonary cyst. Plain chest radiograms showed that a rousd shadow, occasional air-fluid levels, and peripheral calcification may be found in cysts. An operation is the best treatment for cysts. All cysts were completely excised. No postoperative complieations, late complica-tions, or recurrence developed in our patients.     

Wada手术治疗成人漏斗胸

我院1987年1月～1993年10月间Wada手术治疗成人漏斗胸10例(男7例,女3例),平均年龄18岁(14～32岁).术前胸廓指数为0.28±0.09,肺功能平均1秒用力呼气量(?V_1)为71.6%,最大呼气中间流量(MMF)为2.3L/S,最大肺活量(%FVC)为67.8%.胸廓指数越大,肺功能越好.4例胸廓指数>0.30,其肺功能指标明显高于胸廓指数<0.30的6例病人.术后并发症:1例胸骨后感染,与纵隔引流不畅及组织坏死较多有关.1例术后左侧肺不张,经吸痰等治疗后好转.2例病人术后3周内低热.胸骨翻转术应注意减少组织坏死及胸骨后感染,故应尽可能保留胸廓内动脉、清除胸骨上多余的软组织、胸骨翻转后肋软骨应尽量用骨膜包裹、放置有效引流管等以减少并发症.     

成人先天性膈肌膨出症

１９７０－１９８４年手术治疗１２例成人先天性膈肌膨出症，平均年龄４４岁，其中安全型８例，局限型４例。临床表现以胃肠道不全梗阻为主，部分病人可长期无症状。胸透是诊断是最佳及最简便的方法，肺功能检查结果可反映膈肌功能手术治疗膈肌膨出症近期疗效尚可，但远期疗效不佳。认为手术适应证为因该病所致呼吸窘迫、且药物治疗无效。     

漏斗胸Wada术后胸骨下感染2例报告

漏斗胸Ｗａｄａ术后胸骨下感染２例报告中国医学科学院北京协和医院胸外科（１００７３０）戈烽，廖泉，张士民，肖蜀梅，李泽坚１９８９年１１月至１９９３年１０月，我院行胸骨翻转术（Ｗａｄａ术）治疗漏斗胸１０例，术后发生胸骨后感染２例。例１男，１０岁，胸骨脊柱...