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題 名 | Surgical Treatment of Bronchiectasis: 10 Years' Experience=外科手術治療支氣管擴張症:10年追蹤報告 |
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作 者 | 蔣臺舟; 郭華基; 杜和祥; 蘇義仁; 葉志浩; 鐘明燈; | 書刊名 | 中華醫學雜誌 |
卷 期 | 62:10 1999.10[民88.10] |
頁 次 | 頁690-694 |
分類號 | 416.224 |
關鍵詞 | 支氣管擴張症; 追蹤; 復發咳血; 手術結果; Bronchiectasis; Follow-up; Recurrent hemoptysis; Surgical results; |
語 文 | 英文(English) |
中文摘要 | 背景 自廣泛使用抗生素與疫苗等以來,支氣管擴張症已有明顯的減少。現今, 外科手術主要是治療支氣管擴張症的併發症問題。在此我們將過去10年的手術結果作一分 析報告。 方法 自1987年7月至1998年3月,對支氣管擴張症病人接受手術治療的指徵、併發 症及復發率作一回顧性分析。 結果 10年間有41位手術病人,18位(43.9%)男性,平均年齡37.8±15.3歲;23位 (56.1%)女性,平均年齡33±7.1歲。手術指徵為咳血者30位(73.2%)、內科治療無法 控制病情者8位(19.5%)、懷疑有腫瘤及異物者分別有2位(4.9%)及1位(2.4%)。需 切除肺葉者以左側及下葉為多:左下葉20位(40.8%)、右下葉5位(10.28%)、左舌葉10 位(20.4%)、右中葉4位(8.2%)、左上葉4位(8.2%)及右下葉1位(2%)。併發症有 出血1位(2.4%)、漏氣1位(2.4%)及奶水異常分泌1位(2.4%)。在2-131個月(平均 72.5±37.6個月)追蹤期間,有復發症狀2位(4.8%)及復發咳血6位(14.6%)。 結論 以手術治療支氣管擴張症,其死亡率及併發率均低,可立即改善症狀。但患者仍需維 持良好的生活習慣如戒煙等,以免復發。 |
英文摘要 | Background. Since antibiotic therapy and vaccination have been widely used in medical practice, the incidence of bronchiectasis has decreased steadily. The principal role of surgery associated with this disease is for the treatment of complications. We present an analysis of surgical results during a 10-year period. Methods. The medical records of bronchiectasis patients who were surgically treated were retrospectively reviewed from July, 1987, to March, 1998. The surgical indications, complications and recurrences of bronchiectasis were evaluated. Results. A total of 41 bronchiectasis patients underwent surgical treatment from 1987 to 1998 at our hospital. There were 18 males (mean age, 37.8±15.3 years; rage, 16-73 years), and 23 females (mean age, 33±7.1 years; range, 21-46 years). The indications for surgery were hemoptysis in 30, failed medical treatment in eight, suspected neoplasm in two and retention of a foreign body in one patient. Anatomic resections of the diseased sites were carried out more frequently on the left lower lobes of the lungs. In total, there were 20 left lower lobes, five right lower lobes, 10 left lingular lobes, five right middle lobes, four left upper lobes and one right upper lobe that required surgery. Surgical complications included hemorrhage in one patient, bronchopleural fistula in one and galactorrhea in one patient. The follow-up intervals wer from two to 131 months (mean, 72.5±37.6 months; median, 74 months). There were two cases of recurrent symptoms and six cases of recurrent hemoptysis; all were easily controlled by medication. There were no mortalities. Conclusions. Surgical treatment of bronchiectasis yields immediate resolution of symptoms, better quality of life and no mortalities. Cessation of smoking, avoiding air pollution and careful medical follow-up are mandatory. ry. |
本系統中英文摘要資訊取自各篇刊載內容。