耐药性肺结核的手术治疗(附36例报告)

摘要

目的　探讨耐药肺结核的手术适应症及手术时机。方法　对1990～1997年我院收治的7 000肺结核和36例耐药肺结核已手术治疗的病人的手术效果进行回顾分析。结果　36例肺结核病人，临床治愈率94%，痰菌阴转率84%，并发症发生率为13%。结论　对部分耐2～3种药的肺结核病人选择外科治疗仍是可行的，可提高耐药肺结核的治愈率，耐4种以上的肺结核病人术后并发症发生率高，应慎重选择。%Objective　To discuss the operation indication for pulmonary tuberculosis with drug-resistance.Methods　Reviewing 7 000 cases of pulmonary tuberculosis in which 36 cases with drug-resistance that have been operated in our hospital from 1990～1997.Results　The cure rate of 36 cases of pulmonary tuberculosis with drug-resistance is 94%,sputum negative conversion rate is 84%,and the incidence rate of complication is 13%.Conclusion　It is feasible for some patients who have 2～3 kinds of drug-resistance to receive surgical treatment.It can improve the cure rate of drug-resistance pulmonary tuberculosis but the complication rate of patients who have at lease 4 kinds of drug-resistance is high,so that more prudent indication criteria should be considered.