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目的 :探讨外科手术治疗长期排菌肺结核病例的重要性、防疫意义、手术适应症及手术时机的选择。方法 :对正规内科治疗一年以上仍旧排菌的 6 3例肺结核空洞或结核性毁损肺患者 ,采用不同术式肺切除术切除不可逆病灶或附加胸廓成形术 ,并在手术后继续抗结核治疗一年。结果 :5 9例患者痰菌阴转 ,阴转率达 93 .7% ,4例出现术后并发症 ,无手术死亡。结论 :肺外科手术是治疗长期排菌合并空洞及毁损肺患者最有效的方法。
Objective: To explore the importance of surgical treatment of long-term pulmonary tuberculosis cases, the significance of epidemic prevention, surgical indications and the timing of surgery. Methods: Sixty-three cases of pulmonary tuberculosis or tuberculous detoxification lung, which were still discharged after more than a year of formal medical treatment, were treated with different surgical procedures for resection of irreversible lesions or additional thoracoplasty with pneumonectomy and continued with anti-TB treatment after surgery year. Results: In 59 patients with sputum negative conversion rate, the negative conversion rate reached 93.7%. Four cases had postoperative complications without operation death. CONCLUSIONS: Pulmonary surgery is the most effective method for the treatment of long-term mycosis with voids and damaging lungs.