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氣管支擴張症의 外科的治療와 成績

Surgicl Treatment and Operative Results of Bronchiectasis

대한외과학회지 1968년 10권 5호 p.307 ~ 314
池英信, 金道根, 柳會性,
소속 상세정보
池英信 (  ) - 國立醫療院 胸廓外科
金道根 (  ) - 國立醫療院 胸廓外科
柳會性 (  ) - 國立醫療院 胸廓外科

Abstract


Bronchiectasis, as a chronic lung disorder, still presents problems in selection of patients for operation, the surgical management, and eventual treatment.
Authors studied eighty eight cases who underwent 90 pulmonary resectional operations among 135 patients with adiagnosis of bronchiectasis at chest surgical department of N.M.C. during last 7 yrs and 10 months from January 1959 to end of October 1966.
According to the bronchographical distribution of lesions bronchiectasis would fit into following classiscation.
1) Unilateral group; 72 cases.
a) Localized form, 18 〃
b) Diffuse form; 54 〃
2) Bilateral group; 16 〃
In each group typical history, physical findings, plain chest films and bronchography, and pertinent past history were reviewed.
Seventy two patients with unilateral bronchiectasis underwent 72 pulmonary resectional operations. Sixteen patients with bilateral bronchiectasis underwent 18 pulmonary resectional operations including two cases of bilateral operations.
Ten of 88 patients (11.4%) developed post operative complications. One of 88 patients (1.14%) expired post operatively.
Eighty four of 88 patients were followed up in the out patient clinic for 1 to 5 yrs. Operative results were considered as following.
Complete healing; Cases who became free from symptoms and needed no further medical therapy, and could perform usefull activity. 40 among 88 patients (45.4%).
Improved; Cases who were benefitted and could carry on normal activity but who have minimal to moderate cough which required medical therapy. 33 among 88 patients (37.5%).
Poor result; Cases who were obviously not benefitted by operation, continued to have acute flare-ups of infection. 11 among 88 patients (12.5%).
In 65 patients with all bronchographically demonstrablel lesions resected five (7.7%) showed poor results.
In 23 patients witr residual lesions six (26.1%) showed poor results.

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