[The late results of the surgical treatment of congenital anomalies of the bronchopulmonary system in childhood].
The long-term results of operative management in a series of 98 children presenting congenital anomalies of the bronchopulmonary system, aged 6 months to 17 years, are studied. Of the total, 3 children (3.1 per cent) are operated for pulmonary sequestration, 25 (25.5 per cent)--for bronchogenic cysts, 19 (19.3 per cent)--for polycystic conditions, 2 (2.0 per cent)--bronchial stenosis, 18 (18.1 per cent)--infantile (congenital) lobar emphysema, and 30 (31 per cent)--bronchiectasia. Postoperative follow-up period--from 6 months to more than ten years. An overall assessment is done of the results on the basis of catamnestic data, objective status, x-ray study, functional examinations, and in isolated cases--CAT and bronchography. PaO2 formalization is documented within a year of the operation. The minute volume values depend on the number of segments resected, with their recovery being quicker in children with bronchogenic cysts polycystosis and congenital lobar emphysema, as compared to the one in bronchiectasia. In 87.8 per cent of children very good long-term results with a complete cure are obtained. The inference is reached that in children pulmonary resections are well tolerated, with ensuing complete functional restoration of the lung.
Mikhaĭlova
V
V
Tsareva
M
M
D001980:Bronchi / Q000002:abnormalities* / Q000601:surgery*; D001995:Bronchography; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008168:Lung / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy; D012129:Respiratory Function Tests; D013997:Time Factors; D014057:Tomography, X-Ray Computed