ĐÁNH GIÁ KẾT QUẢ ĐIỀU TRỊ PHẪU THUẬT SẸO HẸP KHÍ PHẾ QUẢN DO LAO

Abstract

Introduction: In Vietnam, we recognize that the number of studies on tuberculous tracheobronchial stenosis is limited. Diagnosis of the location, lenght and associated lesions in tuberculosis stenosis is very important for surgical treatment indications. Subjects and methods: Prospective a series of cases on 48 patients with tuberculous tracheobronchial stenosis treated plastic surgery at the Department of Thoracic Surgery, Pham Ngoc Thach Hospital in the period from 01/01/2015 to 31/12/2018. Results: 48 patients included: 03 patients with tracheal stenosis of the middle 1/3, 09 patients with right main bronchial stenosis, 36 patients with left main bronchial stenosis. In the group of patients with bronchial stenosis, we recorded the majority of women accounted for 91.1% and the mean age was 30.7 years. The modes of operations were sleeve resection of the main bronchus (40%) and sleeve lobectomy (60%). The rate of early postoperative complications was 28,9%, the most common prolonged air leakage accounted for 13.3%. No death during and after surgery. After 12 months, the rate of recurrent stenosis is 8.9%. Conclusion: Although there are some complications, the early and mild term results of sugical tuberculous tracheobronchial stenosis are good.