CAJ | 학술논문

目的：分析研究低肺功能肺结核毁损肺患者采取全肺切除手术治疗的临床应用价值。方法选取2013年7月-2014年10月在该院接收的患有低肺功能肺结核毁损肺的病人一共有58例，对58例病人采取全肺切除术，对其手术效果给予分析研究。结果临床手术以后，痰菌转阴率为96.55%），治愈率为96.55%。另外，临床手术以后6个月，病人FEV1以及最大通气量明显要比手术之前和手术以后3个月高（P<0.05），二氧化碳分压明显要比手术之前和手术以后3个月低（P<0.05）。结论对低肺功能肺结核毁损肺患者采取全肺切除手术治疗，可以使病人肺部功能得到明显改善，使痰菌阴转率明显提高，具有临床推广价值。
목적：분석연구저폐공능폐결핵훼손폐환자채취전폐절제수술치료적림상응용개치。방법선취2013년7월-2014년10월재해원접수적환유저폐공능폐결핵훼손폐적병인일공유58례，대58례병인채취전폐절제술，대기수술효과급여분석연구。결과림상수술이후，담균전음솔위96.55%），치유솔위96.55%。령외，림상수술이후6개월，병인FEV1이급최대통기량명현요비수술지전화수술이후3개월고（P<0.05），이양화탄분압명현요비수술지전화수술이후3개월저（P<0.05）。결론대저폐공능폐결핵훼손폐환자채취전폐절제수술치료，가이사병인폐부공능득도명현개선，사담균음전솔명현제고，구유림상추엄개치。
Objective To analyze the clinical value of pneumonectomy in treating patients with low lung function tuberculosis de-stroyed lung. Methods A total of 58 patients with low lung function tuberculosis destroyed lung admitted to our hospital between July 2013 and October 2014 underwent pneumonectomy, and the operative effects were analyzed and studied. Results After clini-cal surgery, sputum-negative conversion rate was 96.55%and the cure rate was 96.55%. In addition, 6 months after operation, the forced expiratory volume in one second (FEV1) and maximal voluntary ventilation (MVV) were higher, partial pressure of carbon dioxide (PaCO2) was lower than those before operation and 3 months after operation, and the differences above were statistically significant, P<0.05. Conclusion Pneumonectomy is worthy of clinical promotion in treating patients with low lung function tuber-culosis destroyed lung because it can improve lung function and sputum-negative conversion rate.