从结核瘤的组织细菌学检查探讨结核瘤手术适应证

The suggestive indication for operation onpulmonary tuberculoma──based on the bacteriologicstudy on the tuberculous section samples.

对化疗后手术切除的１６例结核瘤的肺标本进行组织细菌学检查，结核瘤中坏死物及液化灶周围约５０％可分离到结核菌，其中结核瘤直径大于３ｃｍ的分离率较高，且所分离到的结核菌对不同药物有不同程度的耐药。在病理组织切片中大部分可找到抗酸菌。并对手术适应证进行探讨。

he pathologic features,tuberculous bacilli andantituberculous drug resistance were studied on lungsection samples from 16 patients with pulmonarytuberculoma. The authors found that in about half ofthe samples the tuberculous bacilli were positive.When the diameter of the lesion was > 3cm,the posi-tive rate for bacilli was high and the isolated bacilliwere resistant to different antituberculous drugs in va-rious level. The indication for operation was also recommended.