肺曲霉病外科治疗分析(附15例报告)

目的:探讨肺曲霉病的诊断、外科手术治疗原则、方法及效果。方法:回顾性分析我科2005年至2011年手术治疗的15例采用外科手术治疗的肺曲霉病患者的临床资料和随访结果。结果:15例患者术后证实均为曲霉病,术前诊断符合率为93.3%(14/15),影像学诊断符合率为73.3%(11/15),全组无手术死亡,随访4个月～6年无肺曲霉病复发和播散。结论:手术治疗肺曲霉病能消除症状,预防咯血复发,减少抗真菌药物对患者影响,可根治进而延长患者生命提高患者生活质量。因此,一旦确诊应积极手术治疗。

Surgical treatment of pulmonary aspergillosis ( Report of 15 cases )

Objective:We attempt to discuss the diagnosis of pulmonary aspergillosis and to research its surgical treatment in the aspects of principle,method and effect.Methods:Review the clinical information and the follow-up results of patients who infected the pulmonary aspergillosis and accepted the operation subsequently in our department from 2005 to 2011.Results: 15 patients were diagnosed definitely with pulmonary aspergillosis after operation.The consistency rate in preoperative diagnosis was 14/15.The consistency rate of imagine was 11/15.No one was dead after operation.Finally,no patient has the recurrence and spreading of pulmonary aspergilloma after a serious of tracking observation from 4 months to 6 years.Conclusion: The operation not only eliminates the symptoms,prevents the recurrence of hemoptysis and alleviates the side effect of antifungal agents,but may also be a radical cure of pulmonary aspergillosis and improve the living standards of patients.Therefore,surgical treatment should be advocated when the diagnosis was confirmed.