25. Đánh giá kết quả điều trị u nấm phổi Aspergillus phức tạp bằng phẫu thuật Plombage

Abstract

The purpose of this study was to evaluate the treatment effectiveness of complex pulmonary aspergillus tumors with complications of hemoptysis by Plombage surgery on 91 patients at the Department of surgery of Pham Ngoc Thach Hospital. The mean age of the patientswas 52.8 ± 10.8, the male/female ratio was 3.1/1. The number of rib membranes dissected during surgery ranged from 2 to 6, of which 3 to 4 ribs dissected represented the majority (86.3%). Materials used to depress the fungus cave include ping - pong balls (74 patients, rate 81.3%) and tissue expander (17 patients, rate 18.7%). The average number of balls used in surgery was 4 balls/patient; When using the tissue expander, the amount of water needed for pumping into the bag was from 200ml to 300ml. The amount of blood lost during the operation was 248.9 ± 155.3 ml, the operative time was 135.2 ± 39.2 minutes. The rate of early postoperative complications was 2.2%. Recording the results at 6, 24 and 36 months after surgery showed high efficiency of squeeze mushrooms cave and hemostasis, at 94.3%, 93.1%, 94.1% and 93.2%, 88.5%, 88.2% respectively; The similarity when compared two compressing materials was statistically significant (p > 0.05). Thus, Plombage surgery to treat complex pulmonary aspergilloma with complications of hemoptysis is safe and effective. Treatment results were similar when using artificial balloon materials or water bags.