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本文乃1932—1958年间肺结核外科治疗2316例的经验总结。手术采用二种方法。1、胸廓成形术加筋膜外肺尖萎陷术 本文作者认为所谓“现代胸廓成形术”(Gravesen,Ale-xander),光作彻底的肋骨切除而不作肺尖萎陷术是有很多缺点的。这种方法不能选择性地,有效地萎陷空洞,远期效果差,易引起显著的胸廓畸形,脊柱侧凸,更多的健康肺组织被萎陷,而且不能双侧施行。作者根据30年的临床实践,放力胸廓成形术加肺尖萎陷术使空洞闭合比较有效,选择性大,肺功能不必要的损失少,切除6根肋骨以内不易引起畸形,可以双侧进行。2、肺切除术 本法与胸廓成形术各有优缺点,因此二种手术各应根据不同之适应症来掌握。
This article is a summary of 2316 cases of surgical treatment of pulmonary tuberculosis from 1932 to 1958. Surgery uses two methods. 1. Thoracic angioplasty plus apical lung atrophy This author believes that the so-called “modern thoracic angioplasty” (Gravesen, Ale-xander) has a lot of disadvantages in terms of performing a thorough ribectomy without atrophy. . This method cannot selectively and effectively collapse empty holes, has poor long-term effects, can easily cause significant thoracic deformity, scoliosis, more healthy lung tissue is collapsed, and can not be performed bilaterally. The author according to 30 years of clinical practice, force thoracoplasty plus apical collapse to void closure is more effective, selective, less unnecessary loss of lung function, removal of six ribs less likely to cause deformity, can be bilaterally . 2. Pneumectomy This method and thoracoplasty have their own advantages and disadvantages, so the two kinds of surgery should be based on different indications to grasp.