目的探讨药物治疗不愈的结核性支气管狭窄患者的诊断及外科治疗。方法对４６例外科诊断明确的结核性支气管狭窄采用肺切除和支气管成型术。支气管成型术包括肺叶状成型术，总支气管楔形切除术及总支气管袖状切除术。结果４６例结核性支气管狭窄患者得到治愈，无残端和吻合口瘘；痰菌全部转阴；无狭窄复发。结论治疗结核性支气管狭窄肺切除是常规的治疗方法，支气管成形术是理想的手术方法 Objective To investigate the diagnosis and surgical treatment of patients with tuberculous bronchial stenosis unhealed by drug therapy. Methods Forty-six cases of tuberculous bronchial stenosis with definite diagnosis were treated by pulmonary resection and bronchoplasty. Bronchoplasty includes lobectomy, total bronchial wedge resection, and total bronchial sleeve resection. Results 46 cases of tuberculous bronchial stenosis were cured, no stump and anastomotic fistula; sputum all negative; no recurrence of stenosis. Conclusion The treatment of tuberculous bronchial stenosis lung resection is a common treatment, bronchoplasty is the ideal surgical method