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首页> 外文期刊>Surgical Endoscopy >Video thoracoscopic surgery used to manage tuberculosis in thoracic surgery.
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Video thoracoscopic surgery used to manage tuberculosis in thoracic surgery.

机译：电视胸腔镜手术在胸外科手术中用于治疗结核病。

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摘要

BACKGROUND: The aim of this study was to evaluate the indications and results of video-assisted thoracic surgery (VATS) for the management of tuberculosis in 10 patients with unusual clinical and radiologic presentation for the disease. METHODS: From March 2000 to March 2002, 96 diagnostic VATS operations for unclear thoracic lesions were performed at the authors' institution. Their final diagnosis for 10 (10.4%) of these patients was tuberculosis. The suspected preoperative diagnoses were pancoast tumour (n = 1), pericardial effusion (n = 1), pleural mesothelioma (n = 1), pleural empyema (n = 2), mediastinal lymphoma (n = l), and lung cancer (n = 4). RESULTS: For all the patients, the diagnosis of tuberculosis was achieved by VATS. The duration of drainage was 2.5 days. There have been neither morbidity nor mortality since surgery. The hospital stay was 3 to 5 days. CONCLUSION: Thoracoscopy is a safe and effective procedure for the management of tuberculosis. Tuberculosis should be kept in mind during the differential diagnosis of unknown thoracic lesions, and also for patients who live in economically well developed countries and are not immune compromised.
机译：摘要背景：本研究的目的是评估10例临床表现和影像学表现不正常的结核病患者的电视胸腔镜手术（VATS）的适应症和结果。方法：从2000年3月至2002年3月，作者所在机构进行了96例诊断不明的胸腔病变的VATS手术。他们对10例（10.4％）患者的最终诊断是结核病。怀疑的术前诊断为胰腺癌（n = 1），心包积液（n = 1），胸膜间皮瘤（n = 1），胸膜积脓（n = 2），纵隔淋巴瘤（n = 1）和肺癌（n = 4）。结果：对于所有患者，VATS均能诊断出肺结核。引流时间为2.5天。自手术以来，既没有发病率也没有死亡率。住院时间为3至5天。结论胸腔镜检查是治疗结核病的安全有效方法。在对未知的胸腔病变进行鉴别诊断时，以及在经济上发达的国家生活且未受到免疫损害的患者，都应牢记结核病。

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