肺曲菌球瘤的外科治疗.pptxVIP

肺曲菌球的外科治疗;1 基本概念;肺曲菌球;肺曲菌球;Belcher and Plummer in 1960 Simple aspergilloma (SPA): isolated thin-walled cavities surrounded by normal lung parenchyma Complex aspergilloma(CPA): thick cavities formed within grossly abnormal lung ;曲菌球的外科治疗的相关问题;文献一;A retrospective review was conducted of 60 patients treated at a tertiary center from 1980 to 2010. Patients with a pathologic description of pulmonary aspergilloma, characterized as a cavity or bronchiectatic airway involved with Aspergillus, were included in the analysis. Patients with primarily pleural disease, such as Aspergillus infections in postlobectomy or pneumonectomy cavities, were excluded.;;;;;;复发病例;结论与讨论（整理）;In patients with structural lung disease, we prefer a course of postoperative voriconazole to control pleural contamination and support bronchial stump healing.(个人经验);文献二; January 2005 and December 2012 共有386名肺曲菌球患者，VATS 组（包括腔镜转开放）76例，从310里开胸患者中选取75例组成开胸组。;;围手术期处理;21;Table2 Perioperative Data for VATS and Thoracotomy Patients;;24;1例复发;结果和结论（整理）;围手术期的抗真菌治疗;文献三;;Table 1. Clinical Characteristics of the Patients;(续)Table 1. Clinical Characteristics of the Patients;A组中：术前确诊的14人，术前1至2周开始采用抗真菌治疗；其余术后确诊的病人，术后开始抗真菌治疗;Table4 术后并发症两组之间无明显差异;Table 6 全部病例的多因素生存分析 是否使用抗真菌药不是手术病人的独立危险因素 ;结论(整理);Interactive CardioVascular and Thoracic Surgery (2014) 1.109 Adjuvant antifungal therapy after pulmonary surgery for aspergilloma: is it useful?;Ann. N.Y. Acad. Sci. 2012 IF 4.313;总结;39