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1、221例支气管扩张症的外科治疗效果分析论文王龙,戴天阳,詹福生,江绪明,廖斌,宋琦【摘要】目的总结支气管扩张症的外科治疗经验。方法对221例支气管扩张症的临床资料进行回顾性分析。结果外科治疗221例，痊愈202例，缓解19例，治愈率91.40%，无支气管胸膜瘘发生，无死亡病例。结论术前明确病变的部位和范围，把握好手术适应症是外科治疗的关键所在;正确充分的围术期处理是取得良好外科治疗效果的保证;合适的病例双侧开胸手术也是可行的。【关键词】支气管扩张症;手术治疗AbstractObjectiveTosummarizetheexperienceofsurgicaltreatmentfo
2、rbronchiectasis.MethodsAretrospectiveanalysisadetotheclinicaldataof221casesentedto221cases,202casesrecoveredand19caseshadrelief;thecurativerateakeclearthesiteandscaleofthelesionbeforeoperationandtotakeastrictselectionofoperationindicationsarethekeypointsofsurgicaltreatment;correctperi-operati
3、vemeasuresleadtogoodeffectofsurgicaltreatment;bilateralthoracotomyisfeasibleforpropercases.KEY，KarasuS,GezerS,etal.pletionpneumonectomyforbronchiectasis:morbidity,mortalityandmanagementJ.ThoracCardiovascSurg,2008,Jun,56(4)：221-225.2RiccardoGiovanti,.freelentofbronchiectasis：earlyandlong-termr
4、esultsJ.InteractCardiovascThoracSurg,2008,7：609-612.3ErenS,EsmeH,AvciA.RiskfactorsaffectingouteandmorbidityinthesurgicalmanagementofbronchiectasisJ.ThoracCardiovascSurg.2007，Aug，134(2):392-8.4ThomasStephen，RoyThankachen，AndreentofbronchiectasisinchildrenJ.PediatrSurg,2004Oct;39(10):1532-15367
5、李家梅，杨春波，戴洁清，等.螺旋CT高分辨力扫描对支气管扩张症的临床诊断价值J.医用放射技术杂志，2005，6：105-107.8ManucherAghajanadeh,AliSarshad,HosinAmanietal.SurgicalManagementofBilateralBronchietasis：Resultin29PatientsJ.AsianCardiovascThoracAnn,2006，14：219-222.9SchneiterD,MeyerN,LardinoisD,etal.Surgeryfornon-localizedbronchiectasisJ.BrJS
6、urg.2005，92(7):836-839.10Al-KattanKM,EssaMA,Hajjar,etal.Surgicalresultsforbronchiectasisbasedonhemodynamic(functionalandmorphologic)classificationJ.ThoracCardiovascSurg.2005,130(5):1385-1390
