【摘要】 目的　探讨肺隐球菌病的临床特点及胸腔镜手术的疗效。　方法　回顾分析 1996年 1月～ 2 0 0 2年 12月我院11例肺隐球菌病的临床资料 ,其中胸腔镜肺楔形切除术 8例 ,胸腔镜辅助改良后外侧小切口肺叶切除术 2例 ,肺楔形切除术 1例。　结果　术前误诊 10例。孤立性病变 8例 ,双肺多发性病变 3例。完全切除病灶 8例 ,肺活检术 3例。术后除 2例伤口皮下积液外无其它并发症。术后随访 12～ 72个月 ,(38 6± 10 8)个月 ,无脓胸、支气管胸膜瘘发生 ,无肺隐球菌病复发。　结论　肺隐球菌病多无基础疾病及症状 ,以孤立性病变多见。术前难以明确诊断 ,胸腔镜手术能彻底切除病灶 ,创伤小 ,恢复快。更多还原

【Abstract】 Objective To study the features of pulmonary cryptococcosis and the curative effect of thoracoscopic operation for it. Methods The authors retrospectively analyzed the clinical data of 11 patients with pulmonary cryptococcosis in this hospital between January 1996 and December 2002, consisting of 8 cases of thoracoscopic wedge resection, 2 cases of thoracoscopy-assisted modified posterolateral mini-lobectomy, and 1 case of pulmonary wedge resection. Results Ten patients were preoperatively misdiagnosed. Solitary lesions were found in 8 patients and multiple lesions in both lungs in 3 patients. Complete removal of lesions was achieved in 8 patients and pulmonary biopsy was conducted in 3 patients. Except for 3 cases of wound effusion, there were no other postoperative complications. Follow-up for (38.6±10.8) months (range, 12～72 months) found no pyothorax, bronchopleural fistula, or recurrence of cryptococcosis. Conclusions Pulmonary cryptococcosis usually makes its appearance as a solitary lesion without underlying diseases or symptoms, which is difficult to diagnose preoperatively. Video-assisted thoracoscopic surgery can remove the lesion completely, giving a minimal invasion and rapid recovery.更多还原