Bronchoplasty

Bronchioplasty is mainly used to treat bronchial tuberculosis. Bronchial tuberculosis occurs in the trachea and bronchial mucosa, so it is also known as endobronchial tuberculosis. Most of them are secondary to tuberculosis, and a few are secondary to bronchial lymphatic tuberculosis. Clinical manifestations include TB partial or total stenosis or obstruction. It is its main clinical feature. Treatment of diseases: bronchial tube Indication Endobronchial tuberculosis due to delayed diagnosis, improper treatment, or severe lesions, although chemotherapy for more than 6 months, still cause bronchial stenosis or obstruction, and has: 1. Endobronchial tuberculosis with local stenosis or obstruction of large bronchi such as trachea, main bronchus or intermediate dry bronchus without irreversible changes in distal lung tissue. 2. Endobronchial tuberculosis leaves endobronchial lesions involving the proximal main bronchus. 3. Endobronchial tuberculosis leaf endobronchial lesions involving the intermediate dry bronchus. 4. Simple endobronchial tuberculosis and lymphatic endobronchial tuberculosis have lymphatic bronchospasm. Contraindications Endobronchial tuberculosis causes bronchial obstruction and extensive lung lesions in the distal segment of the stenosis or irreversible complications such as distal atelectasis, tension holes, etc. Preoperative preparation In order to grasp the location, extent, extent and distal location of bronchoconstriction, obstruction, in addition to conventional X-ray examination, a series of examinations such as bronchography are required. Surgical procedure The diseased bronchus was subjected to a small sleeve resection, that is, the diseased lung lobe and a segment of the affected bronchi were resected, and the anastomosis was reconstructed. The treatment of other pulmonary artery and vein was not significantly different from that of simple pulmonary resection. This procedure, also known as bronchial sleeve lobectomy, preserves more healthy lung tissue and avoids pneumonectomy. This method can be applied to any lobectomy. If the main bronchial tuberculosis is narrow, the stenotic bronchus can be removed and the bronchial ends are anastomosed.